Have you ever thought about becoming a monthly donor to The Alzheimer Society of Ireland (ASI). By receiving monthly donations, ASI can plan and budget for the future.
Your monthly donations are automatically deducted from your bank account on a regular basis using the form below or by Credit / Debit card here.
Monthly Direct Debit
Direct debits are an easy and efficient way to make a regular donation. They really help to reduce our administration costs and allow ASI to plan for the future.
Make a monthly donation by SEPA Direct Debit
Please complete and submit this form to set up a paperless monthly direct debit using SEPA Direct Debit.
When we receive this form we will send you a confirmation letter indicating the details of your direct debit donation with The Alzheimer Society of Ireland. You will also receive an email immediately acknowledging receipt of this form.
The information you have provided will be kept securely and used by The Alzheimer Society of Ireland in order to make your monthly donation possible. Your information will only be shared with selected third party service providers, contracted by The Alzheimer Society of Ireland to assist with our campaigns. Your information will not be shared with any other organisation, other than with your permission, or where required by law.
Note 1: your direct debit will be taken on the 15th day of each month or next working day.
By completing this form I consent to authorize The Alzheimer Society of Ireland to set up a monthly direct debit and to debit my account accordingly as per the information I have provided above.
Note: You will also receive an email immediately acknowledging receipt of this form.