Foundation (UK) Limited Gift Reply Form A Registered Charity, Registered in England and Wales Registered Office Address: 19 Norcott Road, London N16 7EJ, United Kingdom Registered Charity Number: 1146770 Company Registration Number: 07960219
Please provide the following information to ensure that your gift is properly credited. Title
Forename(s)
Surname Address
Telephone
E-mail
☐ This is new contact information — please update my official records. Amount Enclosed* ₤
/ US $
☐ It is my desire that the Foundation apply this entire gift to Haverford College for: ☐ The Annual Fund (the College’s highest priority), to one of the following areas: ☐ Academic Enrichment
☐ Student Life
☐ Financial Aid
☐ Athletics
☐ Campus and Facilities
☐ Haverford’s Greatest Need
☐ Another purpose at the College: Signature
Date
Kindly sign, date, and return this form with your check made payable to the Haverford College Foundation (UK) to: Eileen Flood, Administrator, HCFL, 19 Norcott Road, London N16 7EJ, United Kingdom. (Tel. 020.7502.2813 •
[email protected]) * If you are a UK taxpayer and have not done so, please complete the Foundation’s Gift Aid Declaration Form.
[rev. 14 August 2014]
