AgeActionIreland

Donation Form

Please note: A gift of €250 or more, qualifies for the Charity Tax Refund Scheme.

Thank you for supporting the work of Age Action.

		required fields indicated by *
*	First Name
*	Surname
	Address
	City
	County
	Postcode
	Email Address
	Telephone Number
*	Donation Amount	€ euro
	Additional Comments
		Please tick if you would like to become a member of Age Action

Age Action Ireland, 30/31 Lower Camden Street, Dublin 2

Tel: +353 (1) 4756989 Fax: +353 (1) 4756011

Our Monthly News Publication

Dockland Senior Provider Forum Book Sale

Charity Number: CHY 10583 | Reg. in Ireland No: 198571