Sign Up for Simon

Sign up for Simon - monthly donation

I wish to make a monthly donation Cork Simon Community to the amount stated below

If you make a donation of €21 or more to Cork Simon Community can reclaim tax on your donation in accordance with Government guidelines. This makes a huge difference to our work.

First Name*

SurName*

Address*

Address

Address

Country*

Telephone

Email Address*

Amount Donated

€ (min amount €5)

* REQUIRED ITEMS

REFUND POLICY
Your contribution to Cork Simon Community will refunded at the discretion of the trustees of the charity.

PO Box: 76, Togher, Cork, Ireland - Tel: +353 21 - 4321166 - Fax: +353 21 - 4321349
info@signupforsimon.com

Web Design & Hosted by Altrick Designs, Cork, Ireland