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IPCC Bogland Reserves Conservation & Management Fund

Yes, I want to help with the protection and management of IPCC bogland reserves by making a personal donation of:

( ) Euro 500 ( ) Euro 250 ( ) Euro 100 ( ) Euro 75 ( ) Euro 50 ( ) Euro 30
or
Please accept my gift of Euro ________

Thank you for your generous support of our conservation work.

Please print out this form complete it and return it together with your payment to the address at the end of this form.

If you would prefer you can phone or fax us with your credit card details and we will accept your donation straight away. You can phone us on +353 - 45- 860133 or fax us on +353 - 45 - 860481.

Or e-mail us your details and credit card particulars by clicking here info@ipcc.ie

Name and address where we are to send the acknowledgement:

Title ________ First Name ________________________________

Surname __________________________________________________

Date of Birth ___________________________________

Address ___________________________________________________

Town / City _______________________________

County / State _____________________________

Country __________________________________

Postcode / ZIP _____________________________

E-mail ___________________________________

Home Phone __________________ Work Phone ____________________

Different ways you can pay us

(Please make your cheque / PO payable to the Irish Peatland Conservation Council)

( ) Cash ( ) Cheque ( ) Postal Order ( ) Mastercard ( ) Visa ( ) Access

Card Number ______________________________ Expiry Date ____ / ____

Signature____________________________ Date____________

Please print, sign & return the credit card order form by mail to the:
Irish Peatland Conservation Council
Lullymore, Rathangan, Co. Kildare
Ireland


Telephone & Fax: +353 -45-860133
Telephone : +353 -45-860481
e-mail us here info@ipcc.ie