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Standing Order Form

Princes Street Church Restoration Account

Please fill in your details, using block capitals, and hand this form to the church treasurer or secretary or by post to:

Princes Street Church Restoration Account
c/o Church Secretary,
25 Belmont Park, Ballinlough, CORK.

Instructions to Bank/Building Society:
To the Manager, Bank/Building Society:
Name of branch
(BLOCK CAPITALS PLEASE) ………………………………….

Address of your branch …………………………………………

……………………………………………………………………

Account Number ………………………………….

Branch Sort Code ………………………………….

Name of Account Holder………………………………………

Please debit my account in favour of
Princes Street Church Restoration Account,

A.I.B. Account: 04160-117 sort code: 93-63-83

in the amount of € __ __ __ __

on the …… of every month commencing ……/ ……/20__

To be discontinued after ……. monthly payments.
(enter number of months 12, 18, 24, 36 etc.)


Signature ……………………….. Date………./……../20__

Contributions exceeding €250 within the tax year, may qualify for tax relief.
The Princes Street Church has been a registered charity (Ref CHY 316) since 1921.



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