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      Make a regular donation                                                                          Make a one-off donation
      Instruction to your bank or building                                                             I would like to make a gift of £
      society to pay by direct debit.
                                                                                                            Cheque (made payable to SOAS)
      Originator’s Identification Number                    8 3 8 1 2 1
                                                                                                            MasterCard / Visa / Maestro / CAF Charity Card
                                                                                                                                                                          (delete as appropriate)
      I would like to make a monthly/quarterly/annual                                                  Card number
                                           (delete as appropriate)
      gift to SOAS of £
      starting 0 1 / M M / Y Y
                                                                                                       Start Date:                             Expiry date:
      Name(s) of account holder(s)
                                                                                                       Issue No:

      Bank/Building Society Account Number

      Branch Sort Code                                                                                 Tax-free giving
      Name and full postal address of your bank or building society                                    If you are a UK taxpayer please tick the box below
                                                                                                       so that SOAS can claim back 28p for every £1 you
      Name:                                                                                            give at no extra cost to you.
      Address:                                                                                              I would like all donations I have made in the last
                                                                                                            six years and all future donations to be treated
                                                                                                            as Gift Aid donations
                                                 Post/Zip code:                                        Important note: To qualify for Gift Aid, what you
                                                                                                       pay in income tax or capital gains must at least
      Instruction to your bank or building society
                                                                                                       equal the amount that we will claim in the year.
      Please pay RSM 2000 (on behalf of School of Oriental and African
                                                                                                       Please notify SOAS if you change your address.
      Studies) direct debits from the account detailed in this instruction subject
      to the safeguards assured by the Direct Debit Guarantee. I understand
      that this instruction may remain with RSM 2000 re School of Oriental and                         Gift preference                                 Please return to:
      African Studies and, if so, details will be passed electronically to my bank/
      building society.                                                                                                                                FREEPOST RSGT-TUJA-AJXL,
                                                                                                            Areas of greatest need
                                                                                                                                                       Development Office,
      Signed:                                                                                               Student Hardship Fund                      Room 101, SOAS,
      Date:                                                                                                 Scholarships                               10 Thornhaugh Street,
                                                                                                                                                       London WC1H 0XG
                                                                                                            SOAS Library                               *No stamp necessary if
                                                                                                            Student projects                           posting from the UK
            I’d prefer not to receive                     Please send me
            an acknowledgement                            information about leaving
            for my gift                                   a gift to SOAS in my will
                                                                                                       If you do not wish to receive further communications from
                                                                                                       SOAS, please call +44 (0)20 7898 4041
    SOAS is an exempt charity, Inland Revenue Number X14199

      How did you hear about the SOAS Alumni & Friends Fund?

            Telephone campaign                         SOAS World                      Email                     Event

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    The Direct Debit Guarantee – this guarantee should be detached and retained by the Payer
    n This Guarantee is offered by all    Oriental & African Studies will notify confirmation of the amount and date society, you are entitled to a full and   African Studies asks you to.
    banks and building societies that     you 10 working days in advance of      will be given to you at the time of the immediate refund of the amount paid   n You can cancel a Direct Debit
    accept instructions to pay Direct     your account being debited or as       request. n If an error is made in the   from your bank or building society.   at any time by simply contacting
    Debits. n If there are any changes to otherwise agreed. If you request       payment of your Direct Debit, by RSM n If you receive a refund you are not    your bank or building society.
    the amount, date or frequency of your RSM 2000 re School of Oriental &       2000 re School of Oriental & African entitled to, you must pay it back when   Written confirmation may be
    Direct Debit RSM 2000 re School of    African Studies to collect a payment, Studies or your bank or building         RSM 2000 re School of Oriental &      required. Please also notify us.

Donation form NONE wht.indd 2                                                                                                                                                        3/3/10 16:38:10

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