Test123

Your Name*
Your Email*
Your Address*
Address Line 1 Address Line 2 Town/City County / State / Province Eircode / ZIP / Post Code Country
PPS Number
Providing your PPS number is optional. Longford AC is now registered on Revenue's Sports Body Tax Exemption list. This means the club can benefit from getting tax refunded on your donated sum.
Donation*
Price: 500,00 €
Credit Card
Card Details
Cardholder Name

Your Name*
Your Email*
Your Address*
Address Line 1 Address Line 2 Town/City County / State / Province Eircode / ZIP / Post Code Country
PPS Number
Providing your PPS number is optional. Longford AC is now registered on Revenue's Sports Body Tax Exemption list. This means the club can benefit from getting tax refunded on your donated sum.
Donation*
Price: 125,00 €
€125 will be charged monthly for four months giving a total of €500
Credit Card
Card Details
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.