Bankers Order Form

Text Box: Bankers Order Form for Cottage Rescue. I wish to make a regular donation of € _____: _____ Each Month: Until further notice: Starting on Please pay to: Hannah Fitzgerald, Cottage Rescue, A.I.B. Bank, Main Street, Cashel, Co Tipperary. Sort Code: 93-50-69 Account Number: 02653074 Name: _______________________________________________ Telephone No: _________________________________________ Address: ______________________________________________ __________________________________________ __________________________________________ Account Number: _____________________________________ Sort Code: Your bank is: (name and address of bank) ___________________________________________________ ___________________________________________________ ___________________________________________________ Signature: __________________________ Date: ________________ Please return this completed form to: Cottage Rescue, Longfield, Cashel, Co Tipperary. (Not to your bank.) Thank you for your kindness.

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