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| Vita Standing Order Donation Form |
| I would like to become a friend of Vita and give a regular monthly gift by Standing Order |
| There is no minimum amount – every Euro makes a real difference to a person’s future. By donating €21 or more a month Vita will benefit from tax relief from the Irish Government. This makes the value of your donation to Vita considerably greater than your original contribution. |
| Please complete the form instructing your bank/building society to make payments directly from your account |
| Please note standing orders can only be set up with a current account. Please print and send the signed and completed form to Vita 73a Blessington Street, Dublin 7. Vita will process your information and forward the form to your bank. The first donation will come out of your account on the date you specify. |