Index
Home
Join
IPCC

If you are concerned about security we recommend that you
print out the postal/fax application form below, complete your
share certificate application details, and send it to us through
the post.
If you would prefer you can phone or fax us with your credit
card details and we will accept your share certificate application
straight away. You can phone us on +353 - 45- 860133 or fax us
on +353 - 45 - 860481. If you have queries regarding payment
you can e-mail us here bogs@ipcc.ie
Alternatively if you prefer you can fill out our online share
certificate application form and submit it to us electronically.
Get me an On-line share cerificate application form
Symbolic Share Certificate Appeal
Yes, I/we would like to Help Save Irish
Bogs, and wish to purchase:
1/16
acre Share Certificate for Euro 45 (£35)
1/8
acre Share Certificate for Euro 90 (£70)
1/4
acre Share Certificate for Euro 180 (£140)
1/2
acre Share Certificate for Euro 360 (£280)
1
acre Share Certificate for Euro 720 (£560)
2
acre Share Certificate for Euro 1440 (£1120)
Free Guide to Irish Peatlands with every
share purchase
or - Please accept my gift of Euro ________ to support
the Save the Bogs Campaign
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 and
forward on your certificate. (Telephone and Fax details are at
the end of this form.)
Or e-mail us your details and credit card particulars by clicking
here bogs@ipcc.ie
Name to appear on the certificate and address
where we are to send the certificate:
(we will gladly send gift
certificates to a friend or relative on your behalf and let them
know who made the gift)
Title ________ First Name ________________________________
Surname __________________________________________________
Date of Birth ___________________________________
Address ___________________________________________________
Town / City _______________________________
County / State _____________________________
Country __________________________________
Postcode / ZIP _____________________________
E-mail ___________________________________
Home Phone __________________ Work Phone ____________________
Your Name and address if different from that above:
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)
( ) Cheque ( ) Postal Order ( ) Mastercard ( ) Visa ( ) Access
( ) Laser
Card Number ______________________________ Expiry Date ____
/ ____
Security Code (last 3 digits on signature panel on back of card)
_________
Signature____________________________ Date____________
Please print, sign & return the form to:
Irish Peatland Conservation Council
Lullymore
Rathangan
Co. Kildare
Ireland
Telephone: +353 -45-860133
Fax : +353 -45-860481
e-mail us here bogs@ipcc.ie
Irish Peatland Conservation Council
Registered Charity Number CHY6829
Copyright © Irish Peatland Conservation Council
2007
|