BANKER’S ORDER

 

To: …………………....…….................…......…(Bank) ..........……………………....…..................(Branch)

Please pay now and on the ……… day of each month/quarter/year (please select) until further notice,

the sum of ……………………euros (€………..........) to the credit of Brosna, account

no. 23202430, at Bank of Ireland, Upper George's street, Dun Laoghaire (Sort Code: 90 11 16), and

charge the same to my account.

Name:……………………………..............................……...Address:……............................…………………...................

.........………….............................................…… ................Account no:......................................…………………............

Signature:………………………….........................................Date:......................................................................................