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Sepa Direct Debit Mandate 

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Basic Details
Contact Name *
Contact Name
Payment Details
IBAN of the bank account that will be debited each month
IBAN of the bank account that will be debited each month
Bank Account *
Can this bank account accept Direct Debits?
Permission *
Is there more than one signatory required to sign on your account?
Address Details
Address *
Address
 

LEGAL INFO

LIKECHARITY
23 William St. South
Dublin 2
+353 1 557 2425

Creditors Identifier No. IExxxxxxxx

By signing this mandate form, you authorise (A) [Eircap/LIKECHARITY/Payimo????] to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instruction from [Eircap/LIKECHARITY/Payimo????] .

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 you account was debited. Your rights are explained in a statement that you can obtain from your bank.