Monthly Donations

Thank you for becoming a Make a Difference Galway Radiothon Friend for Life!

To sign up for a monthly direct debit, please fill in the information on this form.

You will be asked to fill in banking details on the next page.

  • Creditor Name:
    Cancer Care West
  • Creditors Identifier Number (CI): IE 63SDD306582
  • Creditor Postal Address:
    Cancer Care West, University Hospital Galway
    Tel: 091 545000

Note: Direct Debits are processed through Cancer Care West and are divided equally between Cancer Care West and Galway Hospice.

SEPA Direct Debit

You are currently being signed up to a SEPA direct debit. This means that no signed paper Direct Debit instruction is required. When you complete your donation we will send you a letter indicating the details of your direct debit donation with Galway Bay FM’s Make a Difference Galway Radiothon. Creditor Identifier: IE 63SDD306582

Cancer Care West
University Hospital Galway
Tel: 091 545000
email: info@galwayradiothon.ie

By completing this mandate form, you authorise (A) Cancer Care West to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from Cancer Care West. 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.

Note: Direct Debits are processed through Cancer Care West and are divided equally between Cancer Care West and Galway Hospice.