<p> Chair of the Club 2017 Honorary Secretary 2017 Ciaran Keohane Lorraine McKeaney 29 The Warren 5 Waterside Crescent, Malahide, Malahide, Co. Dublin Malahide Cricket Co. Dublin Tel (M): 085 7311 462 Email: [email protected] Club Email: [email protected] www.malahidecc.com Patron: Norman J. Adams Club Tel: +353 1 8450607 President: Phil Roche</p><p>Standing Order Form Date: / / 2017</p><p>To: The Manager</p><p>Bank: </p><p>I/We hereby authorise and request you to debit my/our account no ______and to Credit: </p><p>MALAHIDE CRICKET CLUB No.1 Account ACCOUNT NUMBER: 42782062 AT: Allied Irish Banks, Church Road, Malahide, County Dublin. SORT CODE: 93-25-23</p><p>UNDER REFERENCE (Player’s or family name)</p><p>As detailed hereunder – (tick the relevant category) Tick the Standing Order Amount Category Total Amount: Category Each Month (for 5 months) Men Playing €39.00 Lady Playing €28.00 Student €24.00 Family €68.00 Ordinary €30.00 Senior Citizen €20.00 Schoolboy/girl €20.00</p><p>Please debit my / our account with five (5) equal payments of €______commencing on</p><p>______2017 and terminating on ______2017 making a total of </p><p>______Euro €______. It shall be understood that the Bank shall not be under any liability for damage or loss caused by omission to make these payments.</p><p>Signed </p><p>PLEASE RETURN THIS FORM TO YOUR OWN BRANCH AND SEND A COPY TO: </p><p>Club Registrar: Marianne Herbert, 28 Seabury Park, Malahide, Co Dublin Tel: (M) 086 4066 266 email: [email protected]</p><p>Honorary Treasurer: Kevin McPhilemy, 11 Beverton Wood, Donabate, Co. Dublin.</p>