SEPA Direct Debit Mandate/SEPA Direct Debit Mandate

for SEPA Core Direct Debit Scheme/for SEPA Core Direct Debit Scheme

By signing this mandate form, you authorize Specht GmbH

Creditor's Name & address

Name and address of the payee (creditor)

Specht GmbH

Rathausstr. 6 Marienplatz

88212 Ravensburg

to send instructions to your bank to debit your account and your bank to debit your account in accordance with the instructions from

Recurring Payments/
Recurrent Payments

Specht GmbH

Creditor identifier/creditor identification number

PLACE HOLDER

Mandate reference/Mandate reference

Will be communicated with the invoice.

By signing this mandate form, you authorize

[Creditor's Name/Payee's Name]

Specht GmbH

I/We authorize [name of payee] to collect payments from my/our account by direct debit. At the same time, I/we instruct my/our bank to redeem the direct debits drawn on my/our account by [name of payee].

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

Name of debtor/account holder

Street name and number/Street, house number

Postal code and city/PLZ, Ort

Country/Country

Account number-IBAN/IBAN

Swift BIC/BIC1

Location, date/Place, date

I hereby agree to the above conditions.