Monthly Donation

"*" indicates required fields

Name

First Name Surname

Email*

Phone*

Address

Street Address Address Line 2 City County / State / Region Eircode Country

Monthly Donation

€10

€15

€21*

€50

Did you know that if you are a tax payer and donate *€21 a month or more, your gift could be worth an extra 44% to us at no extra cost to you.

Choose your own amount:*

Where would you like your funds to go?*

Hidden

I understand that this is a recurring Monthly Gift *

Credit Card*

I agree to the terms and conditions *

By submitting this form and making a monthly donation you agree to allow Our Lady’s Hospice & Care Service to debit your credit/debit card for the confirmed monthly donation amount. You understand that you can cancel your monthly donation at any time by;

1. Contacting Our Lady’s Hospice & Care Services directly on 01 4911072 or email fundraising@olh.ie to request the cancellation. We will confirm your cancellation with you and let you know if there is any pending payment due.
2. And contacting your Bank to cancel your monthly donation.