Liam Mellows

Galway

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Fund the Field - Details Form for Donors Paying by EFT

* Full name

Quantity

* Email (for receipt)

Mobile number

* Would you like your name included on the donor plaque?

* What name(s) or family name would you like on the donor plaque inscription?

* Are you a PAYE worker, to allow the club benefit from the 30% top-up?

* Select your preferred position on the field

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