Standing Order

AFFIRMING CATHOLICISM (IRELAND)

 

Standing Order Mandate for Annual Subscription

(Euro Subscriptions)

 

 

 

 

To the Manager of______________________________Bank/Building Society

 

Branch Address_________________________________________________

 

______________________________________________________________

 

______________________________________________________________

 

 

Please pay to AFFIRMING CATHOLICISM (IRELAND),

 

Bank of Ireland

 

Account No                             82431794

 

Branch sort code                    90-06-07

 

The sum of (words)________________________________________________________

 

(figures) €___________________each year commencing on

 

 

 

My account number is                                         Bank sort code

 

 

Name_________________________________________________________

 

 

Address_______________________________________________________

 

 

______________________________________________________________

 

 

 

Signature______________________________Date____________________

 

Please return this form to the Hon. Treasurer of Affirming Catholicism (Ireland),

Rev’d R.L. Rennix, 5 Brompton Court, Dromara, BT25 2DQ

 

Do not send the form to your Bank