Authorization for Direct Debit Payment

AUTHORISATION FOR DIRECT DEBT PAYMENT

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Company Details

Company Name*

Street*

No.*

Postal Code*

City*

Billing address differs from the address given above.

Company Name*

Street*

No.*

Postal Code*

City*

Client Contact

Forename*

Surname*

Phone*

E-Mail*

E-Mail/Receiver for electronic and dunnings from DHL Express Germany GmbH

E-Mail address*

Authorisation (please check)

I (we) authorise Deutsche Post AG to collect payments from my (our) bank account by direct debit on behalf of DHL Express Germany GmbH. At the same time, I (we) instruct my (our) credit institution to honour the direct debits drawn on my (our) account by Deutsche Post AG. I agree that in order to facilitate payment transactions, the 14-day period for pre-notification of a due payment can be shortened to 2 days prior to debiting. Note: I (we) may demand reimbursement of the debited amount within eight weeks, beginning with the debit date. The conditions agreed with my (our) credit institution apply. *

Bank information

Accountholder*

Bank institute*

IBAN*

BIC*

INFORMATION REGARDING THE SEPA DIRECT DEBIT MANDATE

The general migration to SEPA bank information makes it absolutely necessary that you furnish us with a SEPA direct debit mandate. To this end, upon providing us with your bank details, you will automatically receive correspondence requesting that you send us your SEPA direct debit mandate. Only after receipt of this SEPA direct debit mandate are we authorized to collect any amounts by direct debit as they fall due and, as such, we would request that you return this form to us at your earliest convenience. Until we receive the SEPA direct debit mandate no payment collection may take place as part of the direct debit process requested by you. Any payments falling due must be handled by bank transfer. You will receive the mandate reference number with the SEPA Direct Debit Mandate.

* Mandatory field, the legal basis is performance of a contract as described in Article 6(1)(b) GDPR. The other fields are optional and are processed on the basis of your consent as described in Article 6(1)(a) GDPR.