COVID-19 RAPID RESPONSE INNOVATION FUND Thank you for supporting the Rapid Response Innovation Fund. At the time of your gift our current priority is to fund life-changing research to rehabilitate survivors of COVID-19. Your donation will give Northern Ireland patients the best chance of receiving exceptional care and support through their recoveries. (Upon reaching the appeal target any additional funds will go toward supporting the University's next priority). Gift Information 1 Gift Details 2 Personal Information 3 Gift Information Gift Type One-Time Recurring Gift Amount £10£25£50£100£500£1,000 How would you like to direct your donation? * Starting * Your first payment will be taken today, unless you specify a start date. Frequency Monthly Annually Gift Details Post a letter on my behalf (to) Full Name * First Name Surname * Phone Email I do not wish to be publicly recognised for this gift Your name and details will be passed along but you will not be associated with this gift in any publications. Gift Aid: I am a UK taxpayer, and wish QUB to claim Gift Aid on this donation on all donations I have made in the last four years and any future donations I make. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that if I pay less income tax in the current tax year than the amount of Gift Aid claimed on all of my donations it is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I give or have given in the last four tax years. What is Gift Aid? Personal Information Communication Preferences To opt out of our regular newsletter communications or financial emails please tick below. Communication Type Opt-in Opt-out I am happy to receive emails. I am happy to receive telephone calls I am happy to receive SMS texts Pay by Credit Card Pay via Direct Debit Back Continue Complete Payment Cancel Payment Top of Page