How to Buy an Acre of Irish Bog for Conservation

Irish Peatland
Conservation Council

Comhairle Chaomhnaithe
Phortaigh na hÉireann

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On-line share certificate 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)

Please choose your Share Certificate Size:

A Free Guide to Irish Peatlands is presented with every share purchased

or - Please accept my gift of Euro to support the Save the Bogs Campaign

Your personal details:

Title:

First Name:

Your Middle Initial:

Your Surname:

Address Line 1:

Address Line 2:

Address Line 3:

Postcode:

Country:

Your e-mail:

Date of Birth: dd/mm/yy

How did you learn about our web site?

Married? yes no

Children? yes no

Occupation:

Message to IPCC:

Please add my e-mail address to IPCC What's New e-mail mailing list. No more than 2 mailings are sent per month.

Name to appear on the certificate and address where we are to send the certificate if different from that given above:

(Please note we will send gift certificates to a friend or relative on your behalf and let them know who made the gift)

Title:

First Name:

Middle Initial:

Surname:

Address Line 1:

Address Line 2:

Address Line 3:

Postcode:

Country:

e-mail:

Date of Birth: dd/mm/yy

Your Credit Card Details

Mastercard Visa Laser

Card Number

Card Expiry Date

Security Code (last 3 digits on signature panel on back of card)

Todays Date

Irish Peatland Conservation Council Registered Charity Number CHY6829