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