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Direct debit order SEPA CORE 1

    Direct debit order reference:
    The command reference cannot exceed 35 characters and can only contain characters: AZ, az, 0-9 +/-.

    TO BE FULFILLED BY THE CREDITOR


    Creditor Identifier:

    Creditor Name:

    Address

    Postal code - Town

    Country Province

    By signing this mandate, the debtor authorizes (A) the creditor to send instructions to the debtor's entity to debit their account and (B) the entity to debit their account following the instructions of the creditor. This domiciliation order is intended for operations exclusively between companies and/or the self-employed. The debtor does not have the right to be reimbursed by his entity once the account has been debited, but may request his entity not to debit the account until the due date. He will be able to obtain detailed information on the procedure at his financial institution.

    TO BE FULFILLED BY THE DEBTOR


    Name of the debtor / s:

    Creditor Name:

    Debtor's Address

    Postal code - Town

    Province - Country of the debtor

    Swift-BIC of the debtor bank

    Account number- IBAN
    In Spain, the IBAN consists of 24 positions starting with ES

    Name of the bank

    Payment type Recurring paymentSingle Payment

    Date - Location

    [signature* Signature id:Signature-form class:signature-form cols:800 rows:180]


    ALL FIELDS MUST BE COMPLIANCE COMPULSORY.
    ONCE SIGNED THIS ADDRESS MUST BE SENT TO THE CREDITOR FOR CUSTODY

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