Instructions for establishing a Standing Order

  1. Please complete the Standing Order Mandate and give it to your bank.
  2. Please complete the Notification form and send it to us .

IPSC Notification

I have created a standing order in favour of the IPSC.

Monthly amount:____________________         Starting date:_____________________

Your name:______________________________________________

Your address: ___________________________________________________________________
______________________________________________________________________________

Your phone number: __________________ Your email address:_____________________________
Please tick a box:
I want to join the IPSC       I am already a member       I do not want to become a member.

Send this form to the IPSC for our records. Our contact details are:
Ireland-Palestine Solidarity Campaign, First Floor, 18 Capel Street, Dublin 1
     Phone: 01-872-7798      Email: info@ipsc.ie      Website: http://www.ipsc.ie

Standing Order Mandate

To the Manager,
Name of your bank:_______________________________________________________________
Address of your bank:______________________________________________________________
Please pay:The Ireland-Palestine Solidarity Campaign
Account No: 23591022     Sort Code: 93-21-08
IBAN: IE63 AIBK93 2108 2359 1022
BIC No: AIBKIE2D
AIB, 140 Lower Drumcondra Road, Dublin 9
Amount (in figures):__________   (in words):______________________________________________
On the     _______________    day of every month, starting on   ____/____/____    (date of first payment)
From my/our account:
Your account name(s): __________________________________                 __________________________________
Your IBAN No: _____________________________________
Your signature(s): __________________________________                 __________________________________
Date:________________________