ALLOCATION APPLICATION FOR CREDITOR IDENTIFIER

Application for allocation of a Creditor Identifier for SEPA direct debits.

Valid from *
	dd.mm.yyyy > three banking days
Details on the creditor
Clientele group *	- choose please - Private person Company
Name/(First name) *
Street/No. *
ZIP code/Location *
Country *	- choose please - Switzerland Liechtenstein
Language	- choose please - German French English
Details on the applying financial institution
Name *
ZIP code/Location *
BIC *
Person of contact
Name *
First name *
E-mail *
Telephone *
I accept the issuing conditions *
* Required information