University Of Oxford Gift Form For Us Residents
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1UNIVERSITY OF OXFORD
Gift Form for US residents
I am pleased to support Oxford University by
Your information:
contributing: $_____________________________.
Name: ____________________________________
Please note: If you do not choose a preference for
your gift, the Board will vote to disburse your gift to
College: __________________________________
the Vice-Chancellor’s Fund.
Year: _____________________________________
It is my preference that:
$ ________________be allocated to the University.
Residential Information:
$__________________________be allocated to my
Street: ____________________________________
college. __________________________________
Street Line 2: ______________________________
$ ____________________________be allocated to
_________________________________________.
City: _____________________________________
I would like to make a pledge of $______________
State: ________________
Zip: _____________
to be paid over ______________ month(s), year(s).
Telephone numbers:
Make checks payable to Americans for Oxford, Inc.
Home: ____________________________________
Please charge my (circle one):
Work: ____________________________________
American Express
Discover
Email: ____________________________________
MasterCard
Visa
Please send this form to:
Card number: ______________________________
Mr. Neil Simpkins, Chairman
Expiration date:_______ Security Code:_________
Americans for Oxford, Inc.
nd
500 Fifth Avenue, 32
Floor
Signature: _________________________________
New York, NY 10110
___ My company will match my gift.
If you require any further information please
The appropriate form is enclosed.
contact the Oxford North American Office:
Tel: (212) 377-4900
___ I would like information on how to include
Fax: (212) 889-4052
The University of Oxford in my will.
Email:
Web:
Thank you for your interest in supporting the University of Oxford.
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Parent category: Letters