Munster Wireless Ltd. The Mill, 1 Bridge St., Cahir, Co. Tipperary, Ireland. www.munsterwireless.com - info@munsterwiss.com - +353 52 7442814

SEPA Direct Debit Mandate

By signing this mandate form, you authorise:
(A) Munster Wireless Limited to send instructions to your bank to debit your account and
(B) your bank to debit your account in accordance with the instructions from Munster Wireless Limited.
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.

Please complete all fields marked *

Creditor's Name:                        Munster Wireless Limited

Creditor Identifier:                    IE275DD361065

Creditor Address:                       1 Bridge Street

City:                                   Cahir

County:                                 Tipperary

Country:                                Ireland

Type of Payment:                      * Recurrent payment  or One-off Payment 

Debtor Name:                          * 

Debtor Address:                         

City:                                   

Post Code:                              

Country:                                

Debtor Account Number - IBAN:         * 

Debtor Account Number - BIC:            


Date of Signature (DD-MM-YY):         * 

Signature(s)
Please sign here:                     * 

Please return this mandate to the Creditor


Unique Mandate Reference: (office use only):  -  - 
Please return this mandate to the Creditor