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)
								National Irish Bank
								27 College Green
								Dublin 2
Bank/Building Society account number								Sort Code 95-15-01
								A/C No 30056723
								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