PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN

PLEASE PRINT THIS FORM AND TAKE A COPY TO
X PLEASE COMPLETE THE REQUIRED INFORMATION IN ADDITION THE
6 COVER SHEET (PLEASE USE THIS SHEET

ACC 4152 IMPAIRMENT ASSESSMENT (ACCREDITED EMPLOYER) REPORT PLEASE
Associate Application Form (please Print and Complete
BLACK HISTORY MONTH 2007 EVALUATION FORM PLEASE

PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN

Please Return to: Suas Educational Development,10-12 Hogan Place, Dublin 2




Instruction to your bank to pay a Standing Order


I wish to pay on the _____ day of each month the sum of

PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN

PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN 21* €30 €60 €100 Or my own amount of €


To: Suas Educational Development Limited, Bank of Ireland Lower Baggot Street, Dublin 2.

BIC - BOFIIE2D IBAN - IE69 BOFI 9014 9025 9374 30

PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN

Please debit my account BIC Number:



IPLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN BAN:


PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN

TO THE MANAGER: (Name of your Bank/Building Society)

PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN

Address of your branch:




PLEASE RETURN TO SUAS EDUCATIONAL DEVELOPMENT1012 HOGAN PLACE DUBLIN

Your account name:



_________________ _________________ _____________


Signature(s) – Please provide both signatures if joint accounts Date


Please print names here (BLOCK CAPITALS): ___________________________________


Your email address: _______________________


Your phone number: _______________________


Your postal address: _____________________________________________________


All Donations will go towards operational costs to ensure the future sustainability of Suas Educational Development. Thank you for making the work of Suas Educational Development possible. Follow our progress at www.suas.ie


*NOTE: Your donation to Suas can have an even greater impact on our work. The Department of Finance allows charities like us to reclaim the tax paid on donations of €250 or more per year to the charity (that’s just €21 per month). Under the new tax relief scheme introduced in 2013, the tax refund for donations from all donors regardless of their tax rate or status (PAYE or Self-assessed) will come to Suas at a blended rate of 31%. This means that a donation of €250 is actually worth €362.32 to us.


CLIENT DETAILS FORM PLEASE COMPLETE THE INFORMATION
CREDIT APPLICATION – TRANSMISSION A PLEASE REFERENCE
DATE PLEASE FILL IN TO THE


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