futures❵SCHOLARSHIPS
If you are
If you would like to help launch the Diamond Scholarship Fund this year by making a donation, please fill out the form below.
Thank you. University of Hertfordshire Diamond Scholarship Fund Donation Form ✂
Alumni no: (if known)
Forename: Surname: Address:
If you Gift Aid your donation, the University of Hertfordshire will continue to receive an additional 28p for every £1 you donate.
Please help us to increase the value of your donation at no extra cost to you, by signing the declaration below.
Donor declaration: I confirm that I am a UK tax payer and pay income/capital gains tax equivalent to the amount of tax the University will reclaim on my donations. I wish the University to treat this donation and all subsequent donations as Gift Aid donations. I will notify the University if my circumstances or name/address change.
Please send me a direct debit form so I can set up a monthly donation
OR I would like to make a one-off donation of: £10
£25 £50 my own preferred amount
By cheque (payable to the University of Hertfordshire)/CAF cheque/or Mastercard/Visa/Maestro (Switch)/Delta/Solo (please indicate)
Card No Expires
Issue No (debit cards) Signature
CVV No (3 digits on reverse) Date
Please cut out this form and send in an envelope to the Freepost address below:
Development and Alumni Office Marketing and Communications University of Hertfordshire Freepost BBT 141 Hatfield Hertfordshire AL10 9AB
£100 £250 £1,000 Signature:
interested in finding out more about how the fund will work, please contact Louise Burns at l.burns@
herts.ac.uk, or on 01707 281145.
Date:
Registered Charity No: 294730
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