STANDING ORDER FORM STRIDE-Ethiopia

 

Please complete each section, and send to

Stride Ethiopia, c/o Comhlámh,2nd Floor, Ballast House,Aston Quay,Dublin 2 Ireland

Tel +353 86 2384348  www.strideethiopia.com

 

 

 

 

I want to make a regular gift to STRIDE – Ethiopia

of €10

or €

 

 

 

 

a month starting on

 

 

20

 

 

 

 

Title

First name

 

 

 

 

Surname

 

We would like to keep you informed, including via email about our projects and activities. However, if you would rather not receive such information, please email us at webmaster@strideethiopia.com or write to Stride Ethiopia, c/o Comhlámh,

2nd Floor,Ballast House,Aston Quay,Dublin 2

 

 

 

Postal address

 

 

 

 

 

 

 

 

 

Phone number

 

Email address

 

 

 

 

INSTRUCTION TO YOUR BANK/BUILDING SOCIETY TO PAY STANDING ORDER

Name(s) of Account Holder(s)

 

 

 

 

Bank of Ireland

 

 

Sutton

 

 

Dublin 13

Bank/Building Society account number

 

Sort Code 90-06-90

 

 

 

 

 

 

 

 

 

 

A/C No  44999397

 

 

Instruction to your Bank or Building Society

Please set up a standing order pay

Stride Ethiopia  from the account detailed in this instruction .     

Branch sort code

 

 

 

-

 

 

-

 

 

 

 

 

 

Name and full postal address of your Bank/Building Society

 

To: The Manager

Bank/Building Society

 

 

 

Address

 

 

Signature(s)

 

 

 

 

 

 

 

Date