Canadian Donation Form _word_ - St Antony's College Oxford by suchenfz


									                                 St Antony’s College Oxford
                            Russian & Eurasian Studies Centre Donation Form

Name                                                       Notes on Canadian Gifts

Address                                                    Gifts from Canadian taxpayers are tax
                                                           effective. After we receive your donation, we
                                                           will issue you with a tax receipt and a letter
                                                           confirming that your gift has been received
                                                           and allocated to the Russian and Eurasian
                                                           Studies Centre at St Antony’s College.

                                                           You can make a donation using your credit
                                                           card; however the gift will be debited from
Telephone                                                  your card in pounds sterling. Please specify
                                                           the amount you would like to donate in
Email                                                      pounds sterling on this donation form.

Gift Details

I would like to make a single gift to St Antony’s College of ____________________________

I enclose a cheque made payable to “St Antony’s College”

Please charge my Visa/Mastercard/Barclaycard Card Number:

Expiry Date:      /                         Security Code :             (last 3 numbers on the signature panel)



I would like my gift to be put towards:
Paul Bergne Memorial Lecture Fund                   Russian & Eurasian Studies Centre for greatest needs

Research Programme on Central Asian Studies         St Antony’s College for greatest needs

Please tick here if you would like your gift to remain anonymous

             Please return to Development Office, St Antony’s College, Oxford OX2 6JF
        Telephone: +44 1865-274497 Fax: +44 1865 274546 Email:

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