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Summary: Payroll Giving Form
1. Your Details
Name
Address
Postcode
Tel Email
I would like my gift to remain anonymous
2. Donation Type (Please tick the box adjacent to the instruction you wish to make)
Regular giving:
A first time Give As Your Earn instruction
A permanent addition to my existing instructions
A permanent replacement to my existing instruction
One-off Giving:
A one-off donation for one pay period only
To be included with my existing instructions
Replace my existing instruction for the next pay period only
I am paid: Monthly 4-weekly Weekly
3. Your donation instructions
I wish to give tax free from my pay to:
· The University of Southampton, Highfield, Southampton, SO17 1BJ
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