Aisling Return To Ireland Project Regular Giving Form (Direct Debit)
Please print off and complete the following form, and send to: Aisling Return to Ireland Project, London Irish Centre, 50-52 Camden Sq., London NW1 9XB.

Yes I would like to help The Aisling Return To Ireland Project.

Surname  …………………………………………..     Mr/Mrs/Ms/Other ……………………

Initials ……………

Address …………………………………………………………………………………………..

……………………………………………………………………………………………………..

Postcode ……………………………………………………

Telephone no.  …………………………………………….. 

Email ………………………………………………………..

Please pay The Aisling Return to Ireland Project  £3 or £ …  (other amount) a month, starting on …………… ………… and every month thereafter until further notice.

Name of your bank………………………………………………………………………………………

Address of your bank …………………………………………………………………………………...

……………………………………………………………………………………………………………..
Postcode ……………………………………………………….
Current Account No.  Sort Code --

Signature ……………………………………………………………………… Date …………………….

Bank instructions: Please pay to the Allied Irish Bank plc  (Sort Code 23-83-98) for the credit of
The Aisling Project A/C No. 93975015 

 I wish The Aisling Project to reclaim tax on all donations I have made from 6 April 2000, and all future
donations I make hereafter. Date: ………. (please tick and date if appropriate)*

*NB. For your gifts to qualify for tax relief, the amount of Income and/or Capital Gains tax you pay must
at least equal the amount of tax The Aisling Project will reclaim from your donations in the tax year.

We will contact you regarding the work of The Aisling Project with information on how you can support us. If
you do not wish to receive these communications please tick this box. 

Thank you for your support.
Our work would not be possible without you.
Registered Charity No. 1084971

Bank, please quote the following reference: Aisling Project