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29bb77d6-46c2-4c0f-888c-21dfa1ce3b93.c5d61bc8-366a-4737-ad58-10351eb58e5c.BNMR_Direct-Debit-Mandate_V2_200521
29bb77d6-46c2-4c0f-888c-21dfa1ce3b93.c5d61bc8-366a-4737-ad58-10351eb58e5c.BNMR_Direct-Debit-Mandate_V2_200521
29bb77d6-46c2-4c0f-888c-21dfa1ce3b93.c5d61bc8-366a-4737-ad58-10351eb58e5c.BNMR_Direct-Debit-Mandate_V2_200521
www.bnmrecycling.ie
IE81ZZZ301408
Legal Text
By signing this mandate form, you authorise (A) Bord na Móna Recycling Ltd. to send instructions to your bank to
debit your account and (B) your bank to debit your account in accordance with the instruction from Bord na Móna
Recycling 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 you account was debited.
Your rights are explained in a statement that you can obtain from your bank.
Name
Address Line 1
Address Line 2
Town/City
Eircode
Country
IBAN
RETURN FORM TO
BIC
Bord na Móna Recycling,
Main Street,
Type of Payment RECURRENT
Newbridge,
Co. Kildare.
W12 XR59
DATE
SIGNATURE