I would Like to Support the Work of Justice for the Forgotten

		
Name:

Address:

	

bankers order:

To the Manager of _______________________________________________  (name of your bank)

Address: 

_________________________________________________________________________

Account No.: __________________________

Please pay to:

Justice for the Forgotten
c/o AIB
37/38 O'Connell Street,
Dublin 1

Sort Code: 93-11-36
Account No.: 382-13-065

the sum of € __________ as a one-off payment/every _____ months until ____________

Signed: _________________________________________

Name: __________________________________________

Address: 

_________________________________________________________________________