this donation form - Fulbright New Zealand

FULBRIGHT NEW ZEALAND TRUST ENDOWMENT FUND
DONATION FORM
In its 65th anniversary year in 2013, Fulbright New Zealand has launched an ongoing appeal to build an endowment
to fund additional Fulbright awards in perpetuity. The unfortunate reality is that certain income streams are
reducing, and we are having to reduce the number of awards offered. We are turning away even more deserving
applicants than usual.
The Fulbright New Zealand Trust (Incorporated) is registered in New Zealand as a donee organisation for charitable
donations, so New Zealand tax residents can claim tax credit for up to 1/3 of donations.
Please fill in all relevant fields below and return the form by email to [email protected], fax to
+64 4 499 5364, or post to Fulbright New Zealand, PO Box 3465, Wellington 6140, New Zealand.
Americans are welcome to donate directly to the Fulbright New Zealand Trust using this form. However, for tax
deductibility in the US you must instead donate via the Institute of International Education (IIE) using an alternate
form which is downloadable from our website: www.fulbright.org.nz/us-donation-form
Donation details:
Name:
Address:
Email address:
All donors will be acknowledged by name unless otherwise requested.
I would like my donation to remain anonymous.
One-off donation
I would like to make a one-off donation of NZ$
of payment:
to the Fulbright New Zealand Trust, by the following method
Credit card
I have donated/will donate directly via PayPal at www.fulbright.org.nz/donate;
Please send me a PayPal invoice for the above amount;
Cheque – please find my cheque payable to Fulbright New Zealand Trust enclosed;
Direct credit/bank transfer – I have made a payment to the Fulbright New Zealand Trust bank account
number 06 0501 0871365 00 (Please leave your initials and surname as reference)
Pledge (multiple instalments)
I would like to make a recurring donation of NZ$
Month /
for a total of
Three months /
Six months /
to the Fulbright New Zealand Trust every:
Year
instalments, by the following method of payment:
Automatic Payment – please send me an Authority for Payment Form to establish automatic payments (The
form can also be downloaded from www.fulbright.org.nz/donate);
Credit card – please send me PayPal invoices at the above frequency.
Bequest
I am planning to donate to Fulbright New Zealand Trust in my will.
The following wording is a guideline for allocating a bequest in your will: “I give the Fulbright New Zealand Trust
the sum of $_____/_____% of my residuary estate/the balance of my estate/the following property or assets
______ to be used for the purpose of providing additional Fulbright awards, for which the receipt of Fulbright New
Zealand Trust shall be sufficient discharge to my trustees.”