SEPA Direct Debit Mandate

Please follow these four steps:

Fill in this form first
Print and sign the form
Mail the paper version with the signature to:
Interpret Europe e.V.
Britzinger Str. 40
D-79114 Freiburg
Germany

Hint: the Info sign provides further information for some fields.
* means that this field must be filled. For more information about membership fees and money transfer see our FAQ

Payment Section-en

SEPA Direct Debit Mandate

Creditor: Interpret Europe - European Association for Heritage Interpretation e.V., Freiburg i.Br, Germany
Creditor Identifier: DE89ZZZ00000015148

SEPA Direct Debit Mandate - Reference

Please fill your membership number. If it is not available yet, we will fill it and inform you.

Reference = your membership-number

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

Name of the Debtor

Name of bank account holder (usually your name / your organisation's name)*

Street name and number

Address of the bank account holder*

Postal code and city/town

of bank account holder*

Name of authorised to sign

Please fill in, if different from name of debtor (e.g. for organisations)

Your bank account:

Individual members please submit your private bank account; only organisational or commercial members should use a corporation's bank account.

Name of the bank and place

SWIFT BIC*

Account number IBAN*

The authorised person has to sign the SEPA Direct Debit Mandate here after printing out

______________________________________________
Date, location and signature

Submit-section

Print out now!

Please check your entries, and print the form twice before submitting the data by email. If you currently do not have a printer available you can print to a file and create a .pdf or .ps to be used at a printer elsewhere.

Please send one signed original by mail to Interpret Europe. The other print out is for your documentation.