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STANDING ORDER FORM
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Please fill out this form and return to:
ICABS, PO Box 88, Mullingar, Co Westmeath, Ireland.
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To the manager of:
(name of your bank) | _____________________________________ |
| Bank address: | _____________________________________ |
| _____________________________________ |
| Bank Sort Code: | __ __ __ __ __ __ |
Please pay to the Irish Council Against Blood Sports,
Ulster Bank account number: 80628033. Sort Code: 98 62 42
the sum of € _____ each month / quarter / year (delete as applicable)
Starting on ___ / ___ / ___ (date) until further notice and debit
my account, the number of which is: __ __ __ __ __ __ __ __
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| My name: | _____________________________________ |
| Address: | _____________________________________ |
| _____________________________________ |
| Telephone: | _____________________________________ |
| Email: | _____________________________________ |
| Signature: | _____________________________________ |
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Visit www.banbloodsports.com for campaign information and updates.
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