STANDING ORDER Date.........................................................

To the Manager: ………………………………………………………………………………………………………………….

(insert here the name and address of your own Bank)

I/We hereby authorise and request you to debit my/our Deposit/Current (delete as appropriate) Account No. ............................. with the sum of €…………….. per Month/Quarterly/Half-Year/Annually (delete as appropriate) commencing with the first payment on …………………………….. and to credit the amount indicated to the account of Laurel Lodge Development Deposit Account No. 13484-318 (Code 93-25-15) at the Blanchardstown Branch of A.I.B. until further notice in writing. It shall be understood that the Bank shall not be under liability for loss or damage caused by any omission to make these payments.

SIGNED: ………………………………………………………… REF. NO: ………………………………………….

(Reference No. will be entered at Parish Office)

ADDRESS: ……………………………………………………….

……………………………………………………………………..

Banks are requested to quote Reference No. as indicated on Transfer Advices to Blanchardstown Branch of A.I.B. in making payments on this instruction.

If you are already contributing by Standing Order and are increasing your contribution, please sign below.

Please cancel my/our existing Standing Order and replace with the new order above.

SIGNED: ..........................................................................................