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Yes, I am a UK taxpayer and would like GOAL to claim back the tax on
any donations I have made in the previous 4 years and any future donation I make
until I notify you otherwise

By ticking the Gift Aid box, I understand that I must have paid an amount of income tax
or capital gains tax at least equal to the tax reclaimed on all my charitable and
community amateur sports donations in a single tax year. Council Tax and VAT do not
qualify. If your circumstances change, please let us know. All reclaimed tax will be
used in countries in which GOAL works.

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DIRECT DEBIT MANDATE (SEPA)

Is bank account a Republic of Ireland account? Yes No

Is more than one signatory required to sign on your account? Yes No

Can bank account accept direct debits? Yes No

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SEPA Originator Identification Number (OIN) IE89SDD360143

By signing this mandate form you authorise, (A) GOAL (Carnegie House, Library Road, Dun Laoghaire, Co Dublin) to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from GOAL. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited. Your rights are explained in a statement that you can obtain from your bank.

Direct debits are deducted on the first working day of every month.

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Your donation will be recorded for audit and tax purposes in accordance with the Irish Data Protection Acts 1988 and 2003 and GOAL’s Privacy Statement.

Your donation will be recorded for audit and tax purposes in accordance with the UK Data Protection Act 1998, the Irish Data Protection Acts 1988 and 2003 and GOAL’s Privacy Statement.

Your donation will be recorded for audit and tax purposes in accordance with the Irish Data Protection Acts 1988 and 2003, GOAL’s Privacy Statement and all applicable data protection/privacy laws.

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