FRIENDS OF DUBLIN YOUTH ORCHESTRAS

Please return completed form to :

DYO Hon Treasurer, Noeleen Mulholland 19 Brighton Avenue, Foxrock, Dublin 18

Telephone 01 289 8545

I would like to become a Friend of Dublin Youth Orchestras

Name…………………………………………………………………..

Address ……………………………………………………………….

………………………………………………………………..

Tel ……………………………….

Amount enclosed € ……………….. (or if you prefer please fill out the standing order form below)

If paying for other items, e.g. fees, sweatshirts, etc., use one cheque only.

REQUEST FOR STANDING ORDER

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

At Branch ……………………………. Sort Code ……..…..……..

Please charge to my/our Account No ………………………………….………..

Account Name……………………………………………

and pay to

PERMANENT TSB BANK, MAIN ST, DUNDRUM, DUBLIN 14

for the credit of DUBLIN YOUTH ORCHESTRAS

Sort Code 99 06 20; Account No. 80007013

Full name ………………………………………………Cross out one: - Previous Friend / New Friend

The Annual sum of € ………….. say ………………………… annually

(Minimum Annual subscription €40)

Commencing on Date: ………………………………….

and thereafter on each succeeding year until the year: ………………

SIGNED: …………………………. DATE: ………………..

ADDRESS ………………………………………..

………………………………………..