Contact Address Email Address Daytime Phone No. Role in Group/Club Tell us your group or club Name & Address Eircode __________________________________________________________ Year Established _____________________________________________________ Does your Group/Club have a charitable status? If yes please provide Number. Yes ____________ No __________ Number ________________ Is your Group/Club Tax Registered? If yes, please provide Tax Reference Number. Yes ____________ No. _____________ Number _______________ Tax Clearance Access Number (please provide if applicable) _______________________
Contact Address Email Address Daytime Phone No. Role in Group/Club Tell us your group or club Name & Address Eircode __________________________________________________________ Year Established _____________________________________________________ Does your Group/Club have a charitable status? If yes please provide Number. Yes ____________ No __________ Number ________________ Is your Group/Club Tax Registered? If yes, please provide Tax Reference Number. Yes ____________ No. _____________ Number _______________ Tax Clearance Access Number (please provide if applicable) _______________________