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Form-SEPA

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 - Population

Country Province

By signing this direct debit order, the debtor authorizes (A) the creditor to send instructions to the debtor's entity to debit his account and (B) to the entity to make debits to his account following the creditor's instructions. This direct debit order is intended for operations exclusively between companies and / or freelancers. The debtor does not have the right to be reimbursed by his entity once the account charge has been made, but he can ask his entity not to debit the account until the due date. You can obtain detailed information on the procedure at your financial institution.

TO BE FULFILLED BY THE DEBTOR


Name of the debtor / s:

Creditor Name:

Debtor's Address

Postal code - Population

Province - Debtor's Country

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

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

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