By confirming this payment, you authorize [Creditor Name] (Creditor Identifier: [Creditor ID]) to collect recurring payments from your account by SEPA Direct Debit. You also authorize your bank to debit your account according to these instructions.

You are entitled to a refund from your bank under the terms of your agreement with your bank. A refund must be requested within 8 weeks from the date your account was debited.

Customer details to be filled in online:
Name of account holder
IBAN