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:
Debtor's Address
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
ALL FIELDS MUST BE COMPLIANCE COMPULSORY. ONCE SIGNED THIS ADDRESS MUST BE SENT TO THE CREDITOR FOR CUSTODY
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