Standing Order Donation Form

1
Standing Order Donation Form
I would like to set up a Standing Order of
every
(please tick one)
If you are a PAYE tax payer a donation of 21 per
month / 63 per quarter / 250 per year will mean
that Cork ARC can claim back any income tax
already paid, so your gift could be worth up to
42 more to Cork ARC at no extra cost to you!
These payments are to go to Cork ARC Cancer
Support House Bank Address Permanent TSB, 1
Lapps Quay, Cork Account no 71947872 Sort
code 990701
Signature Date
Cork ARC Cancer Support House ? Cliffdale ?
ODonovan Rossa Road
Cork ? Tel [phone] www.corkcancersupport.ie
FOR PEOPLE LIVING WITH CANCER AND THOSE WHO CARE
FOR THEM.