Please enter a valid IBAN (minimum 15 characters).
Please enter your BIC/SWIFT code.
Please enter a valid email address.
Please select a Broadband Service type.
* required fields.
I authorise Atlantek Computers Ltd to take direct debit payments from this account.
You must authorise direct debit payments to continue.
I will duly notify the Bank and Atlantek Computers Ltd in writing if I wish to cancel this instruction.
Note: After you have signed, you may opt out of this agreement and withdraw your consent at any time.
By signing this mandate form, you authorise (A) Atlantek Computers Ltd to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from Atlantek Computers Ltd. 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.
Direct Debit Signup
Electronic Signature
Please sign in the box below to complete your SEPA Direct Debit Mandate
Please provide your signature before submitting.
By clicking "Complete & Submit" below, you confirm that you have read and agreed to the Direct Debit mandate terms and conditions.
Your electronic signature carries the same legal validity as a handwritten signature.
Date of signing:
✔
Thank you!
Your SEPA Direct Debit Mandate has been completed and submitted successfully. A member of the Atlantek team will be in touch to confirm your setup.