University of Southampton

• *Title:
• *First name:
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• Former name (if applicable):
• *House Number or Name:
• *Street / Road:
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• Use this address as the cardholder address for the donation?
• Telephone number:
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• *Year of graduation (if you did not study at Southampton please enter 'did not study here'):
• Subject studied:
• *Date of birth (dd/mm/yyyy format please):

• I wish to make a gift to: Special Collections (and the Broadlands Archive) Annual Fund School of Biological Sciences School of Chemistry School of Civil Engineering School of Electronics and Computer Science School of Education School of Engineering Sciences School of Geography School of Health Sciences School of Humanities Institute of Sound and Vibration Research School of Law The Library School of Management School of Mathematics School of Medicine School of Ocean and Earth Science School of Physics and Astronomy School of Psychology School of Social Sciences Sport and Recreation Winchester School of Art
• *Gift Amount (your gift will be paid in GBP) £:
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Making the Most of your gift (UK taxpayers only)

By making a Gift Aid declaration, your gift will be worth almost a third extra to the University of Southampton at no additional cost to you.

If you wish to make your gift tax effective in this way, please read the following and check the box below.

I wish the University of Southampton to treat this donation as a Gift Aid donation. I have paid an amount of UK income tax that equals or exceeds the amount of tax to be reclaimed.

If you pay tax at the higher rate you can claim further tax relief in your self-assessment tax return.