SEPA Direct debit mandate Invoice Company: VAT Number: Cell Phone: E-mail: Address: Website: Postal code: Country: Equal to invoice information Shipping Address: Postal code: Country: Contact Form IBAN Number: BIC SWIFT: By signing this mandate form, you authorize ____MARS & MORE____ to send recurrent collection instructions to your bank to debit your account and your bank to debit your account on a recurrent basis in accordance with the instructions from ____RABOBANK____a This mandate is only for business-to-business transactions. You are not entitled to a refund from your bank after your account has been debited, but you are entitled to request your bank not to debit your account up until the day on which the payment is due. Ask your bank for the conditions. --------------------------------------Place, Date --------------------------------------Signature SEPA Place: Phone: Place: Subscribe to newsletter 208

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