SEPA DIRECT DEBIT

SEPA Direct Debit

Name and address of the payee (creditor)

LAGERRAUM365

Owner: Bernd Biedermann

Gewerbepark 5

6068 Mils

Creditor identification number:

AT79ZZZ00000065735

Mandate reference:

LAGERRAUM365

Please fill out this form carefully.

Account holder (first name and last name)

Adress

IBAN

BIC

Direct debit authorization

I/We authorize LAGERRAUM365, owner Bernd Biedermann, to collect payments from my/our account by direct debit.

At the same time, I/we instruct my/our bank to honor the direct debits drawn by LAGERRAUM365, owner Bernd Biedermann, on my/our account.

Note: I/We can request a refund of the debited amount within eight weeks of the debit date. The terms and conditions agreed with my/our bank apply.

By completing and submitting this form, you accept the SEPA direct debit procedure and the collection from your account.

I agree

E-mail:

By submitting this form, you accept, even without a signature, that the amount for the deposit and rent may be debited from your account.