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University of Nottingham Impact Campaign Ways to giveLegacy pledge form

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This is not a legally binding document and you do not have to complete every section. Please be assured that any information you supply will be treated in strictest confidence.
Title
MrMrsMissMsDr.Prof.OtherOther
Name

First

Last
Address

Address Line 1

Address Line 2

City

County

Postcode

Country
Phone
Email
I am a former student of the University of Nottingham:
YesNo
Please tick the statement that applies to you:
I have remembered the University of Nottingham in my WillI intend to remember the University of Nottingham in my Will
I would like my legacy to support:
Unrestricted - I would like to give the University the flexibility to direct my legacy gift to where the need is greatestTeaching and research in a specific School/DepartmentStudent scholarships and bursariesUniversity libraries and special collectionsUniversity buildings and campus developmentHalls of ResidenceOtherOther

Please tick ONE box.
I would like someone to contact me to discuss my legacy plans.
I intend to remember / I have remembered the University of Nottingham in my Will, by leaving:
A share of my estateA cash sumA specific item

Please tick as appropriate.
(Optional) The estimated value of my proposed legacy is:

All information you supply on this form will be treated in strictest confidence.
I would like to receive further information about the Revis Circle.
YesNo

The Revis Circle has been created to thank and recognise those supporting The University in their Will. Members receive invitations to special events, as well as ongoing communications about how legacy gifts and philanthropy are making a crucial difference at The University of Nottingham.

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