Pledge Form – St Brigid's GAA

My/Our Gift To St. Brigid’s GAA Club

I / We would like to make:

A Monthly Pledge

A Once Off Pledge

If Once off Donation, Please choose an option:

One Time Custom Amount

One Time - €250

Once Off Donation - Custom Amount

Personal Details

Name*

First Name

Surname

Full Home Address*

Tel / Mobile*

Email Address*

Date*

Payment Details

My / Our gift will commence on and be paid by (insert date)*

Tax Rebate Scheme

This fund-raising drive qualifies under the Department of Sport tax rebate scheme and will increase your donation by 66.67% for a higher rate tax payer and 25% to a lower rate tax payer. St Brigids will help you complete a simple form once your donation is made and we will do the rest.

Please Note: To qualify for the revenue rebate scheme you must make a minimum donation of €250 in a calendar year

I am happy for St Brigid's GAA Club to avail of any tax rebate available on my donation*

Confirm

Contact Name*

First

Last

Contact Phone Number*

Data Protection Information provided on this form is for internal use by St. Brigid’s GAA and will be treated confidentially and with sensitivity in accordance with the Data Protection Act. Contact details may be used to keep you up to date with any news, fundraising initiatives or events. We intend to update our Donors with development progress reports please tick the relevant boxes to opt out of that communication channel.

Opt Out of communication channel

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