Bridge United AFC - Members Draw

Membership Form / Standing Order – Member

PLEASE RETURN TO CLUB OFFICIAL OR EMAIL TO

Name: Address: Contact Number:

Payment Method / Direct Debit / Half Yearly / Yearly
(See options below) / €60 / €120
IF HALF YEARLY OR YEARLY OPTION PLEASE SIGN:______
IF DIRECT DEBIT PLEASE CONTINUE
To the Manager (insert bank name and address)
I/We hereby authorise and request you to debit my/our (insert account type)
Account Number / National Sort Code
And to Credit:
Bridge United Deposit Account
AIB
Shannon Town Centre
Shannon
Co. Clare
Account Number / National Sort Code
00793168 / 93-54-84
Please Select Standing Order Options
With the sum of:
EUR: 10 / 30 / 60/ 120 / Ten / Thirty / Sixty / One hundred and Twenty Euros only
Frequency: MTH / QTR / HYR / YR
Start Date: February 20th 2008
Name/Account title:
Signature:

Bridge United Development Draw

  • €10 a month
  • 1 winner for every 45 members
  • Draw based on the Lotto Bonus ball on the first Saturday of each month.
  • Jackpot is €100
  • Additional Members Draw during Christmas Period
  • Updates & results will be provided on the Club Website ( as well as local newsletter.
  • Please contact any of the following for further information or information on payment methods.

Caroline O’ Sullivan – 086 0782841

Barry Downes – 086 3412104

Ray Keane – 087 2259673

Leo Murphy – 087 7638565

Corey Phelan – 086 1621286

Bridge United AFC - Members Draw

Membership Form / Standing Order – Member

MEMBERS COPY

Name: Address: Contact Number:

Payment Method / Direct Debit / Half Yearly / Yearly
(See options below) / €60 / €120
IF HALF YEARLY OR YEARLY OPTION PLEASE SIGN:______
IF DIRECT DEBIT PLEASE CONTINUE
To the Manager (insert bank name and address)
I/We hereby authorise and request you to debit my/our (insert account type)
Account Number / National Sort Code
And to Credit:
Bridge United Deposit Account
AIB
Shannon Town Centre
Shannon
Co. Clare
Account Number / National Sort Code
00793168 / 93-54-84
Please Select Standing Order Options
With the sum of:
EUR: 10 / 30 / 60 / 120 / Ten / Thirty / Sixty / One hundred and Twenty Euros only
Frequency: MTH / QTR / HYR / YR
Start Date: February 20th 2008
Name/Account title:
Signature:

Bridge United Development Draw

  • €10 a month
  • 1 winner for every 45 members
  • Draw based on the Lotto Bonus ball on the first Saturday of each month.
  • Jackpot is €100
  • Additional Members Draw during Christmas Period
  • Updates & results will be provided on the Club Website ( as well as local newsletter.
  • Please contact any of the following for further information or information on payment methods.

Caroline O’ Sullivan – 086 0782841

Barry Downes – 086 3412104

Ray Keane – 087 2259673

Leo Murphy – 087 7638565

Corey Phelan – 086 1621286