SEPA Direct Debit Mandate form

Creditor: Interpret Europe - European Association for Heritage Interpretation e.V., Freiburg i.Br, Germany
Creditor Identifier: DE89ZZZ00000015148

SEPA Direct Debit Mandate - Reference
Reference = your membership-number

By signing this mandate form, you authorise (A) the Creditor to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from the Creditor. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited. Your rights are explained in a statement that you can obtain from your bank.

Name of the Debtor*
Street name and number*
Postal code and city/town*
Name of authorised to sign

Your bank account:
Individual (entry level)s please submit your private bank account; only organisational or commercial members should use a corporation's bank account.

Name of the bank and place
SWIFT BIC*
Account number IBAN*
The authorised person has to sign the SEPA Direct Debit Mandate here after printing out