The ANU Fund I would like my gift to support

The ANU Fund
I would like my gift to support
The ANU Fund
My personal details
I am an ANU graduate
The ANU Fund – Students first
Title____________________________________________________
The ANU Fund – Innovative learning
First name_______________________________________________
The ANU Fund – Research & discovery
Preferred name__________________________________________
The ANU Fund – Campus life
Other ________________________________________________
Please accept my gift to ANU
$50
$100
$500
$1,000
$5,000
Other $ ______________________________________________
Donations over $2 may be tax deductable.
I would like to make my donation by
Giving securely online at quicklink.anu.edu.au/give
heque/Money order as attached
C
(made payable to: The Australian National University)
Bank transfer – for details please telephone +61 2 6125 7814
Cash
Visa
Mastercard
AMEX
Card number ____________________________________________
Expiry date _____________________________________________
Cardholder name (please print)
_______________________________________________________
Family name_____________________________________________
Address________________________________________________
_______________________________________________________
_______________________________________________________
Postcode_______________________________________________
Telephone (H) (
)_________________________________
Telephone (W) (
)_________________________________
Mobile__________________________________________________
Email___________________________________________________
Acknowledgment details
In donor recognition lists, I wish my/our name
to read as follows:
_______________________________________________________
I do not want my/our name to appear in donor
recognition lists.
Other information
_______________________________________________________
Please send me information about including ANU in my will.
Cardholder signature
I have made arrangements to include ANU in my will.
_______________________________________________________
Today’s date (dd/mm/yy) __________________________________
Please return this form to
Alumni Relations & Philanthropy
Building 71, 28 Balmain Crescent
The Australian National University
Canberra ACT 2601 Australia
T +61 2 6125 7814
Privacy ANU is subject to the Privacy Act 1988 and the University will take
steps to ensure the security of your personal information. The University
will only use your personal information for the purposes of completing your
donation and to keep you informed of the University’s ongoing philanthropic
activities. If you would like to verify information held about you, please don’t
hesitate to contact us on +61 2 6125 9945 or [email protected]. If you
have questions about privacy and how the University collects and maintains
personal information, please view the policy at https://policies.anu.edu.au/
ppl/document/ANUP_000446 or contact [email protected].
If you do not wish for your personal information to be used for future
fundraising activities, please tick this box