Print and complete this form, then return it to the Temple (forms can be put in the donation box in the Temple room)
EURO Donation Form
International Society for Krishna Consciousness Founder – Acarya His Divine Grace A.C. Bhaktivedanta Swami Prabhupada
Inis Rath Island Derrylin Co. Fermanagh N.Ireland, BT92 9GN. 028 67721512 (048 67721512 from Ireland)
Charity no. XN79215 www.krishnaisland.com
Become A Hare Krishna Island Patron
You can contribute by standing order any of the following amounts, or other amount of your choice:
Mandir Benefactor €108 up to €1008 per month
Mandir Sponsor €51 up to €107 per month
Mandir Donor €25 up to €50 per month
Standing Order Request Form – For Euro Currency Donations
Please make standing order payments to: Ulster Bank, Ballyconnell, Co. Cavan
Account Name: ISKCON (NI)
Sort Code, 98-52-60 Account Number: 06482050
Beneficiary reference: Temple Patron [on the first day of each month, starting this month]
Your Surname …………………………………………………….
Your First Name(s) ………………………………………………………
Address ……………………………………………………………………………………………
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Your Bank name ………………………………………………………………………………..
Bank Location …………………………………………………………………………………..
Your Account Number ……………………………………………………………………….
Sort Code ………………………………………
Amount of Contribution € …………………………….. per month.
Signed ……………………………………………………………………………….
Date ………………………………………………
