DRIVE 105 WEB VERSION

DERRY CITY FC DEVELOPMENT COMMITTEE

Standing Order Mandate

Name of Bank/Building Society: __________________Branch: ____________

Name of Account Holder______________________________

Sort Code: _______________ Account No: ____________________

Signature: ________________________________ Date: _________________

Ticket Number:

Please pay the sum of £ _____________ monthly commencing on _____________

until ________________________ to the beneficiary.

BENEFICIARY: Bank Of Ireland, 15 Strand Road, Derry BT48 7BT

Account Name: Derry City FC Development Committee Draw Account

Account No: 15772855 Sort Code: 90-49-74

Derry City Development Committee Dream Draw

In association with Derry Journal Newspapers and Mc Cormick Properties

This Draw is strictly limited to 2500 Tickets and these will be sold on a first come first served basis. Tickets are priced at £100 sterling each

Prizes

1 Luxury Apartment Roneragh,Fahan Co Donegal

valued at more than £100,000 Sterling

2 Ford Focus Car

3 Ford Fiesta

4 Caribbean Cruise & £500 sterling

5 £1000 cash

Please complete the attached Standing Order Form as fully as possible and send to :

Mr Michael Burns 113 Knockwellan Park Waterside BT47 2JF Telephone 02871341400

Or send a cheque made payable to the Derry City Development Committee.

Tickets can also be obtained from Liam Hegarty 84 Rockfield L’Derry BT48 8AX 02871354851