Sign Up Form

Please provide the following details if you wish to contribute under the Sustain scheme to any recognised charity or charitable organisation. Your instructions can only be processed if your employer subscribes to the Sustain scheme; if not, we will contact your employer about offering the scheme in your workplace.

The minimum payroll deduction is €1.50 per week or €6.00 per month.

If you wish to specify more than three charities, please complete an additional form.

If you have any questions, please contact Charitable Giving by email at

Fields marked with an asterisk * are required and must be completed to submit the form

Personal Details
Employer Details

Donation Details

Please specify only one type of deduction, either WEEKLY/MONTHLY or ONE-OFF on a form, i e, use a separate form for each type of deduction

For WEEKLY/MONTHLY deductions, please tick START for a new contribution, STOP for a deduction to be stopped, or AMEND if an existing deduction is to be increased or decreased. If you are amending a deduction, enter the new amount; if you are replacing one deduction with another, please indicate the name and amount for each charity and indicate STOP for one and START for the other, as appropriate

For ONE-OFF deductions, please specify the amount(s) only

Where required, tick the box to allow data entry

I wish to give my deductions*

Charity 1

If small or local charity

Charity 2

If small or local charity

Charity 3

If small or local charity

PLEASE NOTE: If you are already contributing under the Sustain scheme, no other changes will be made other than those shown above

Charitable Giving SUSTAIN is a scheme, exclusive to the Republic of Ireland, administered by Charitable Giving (UK Registered Charity No 1128013) The scheme enables employees to donate regularly in euros from their net pay to charities of their choice.
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