"*" indicates required fields
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 email@example.com 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.