Donation

SEPA Direct Debit Mandate

Please debit the following bank account with the amount:

I'd like to make a donation of EUR *

Frequency*How often would you like to make a donation?Single donationMonthly donationEvery six monthsOnce a year

Account Owner *

IBAN *

BIC

Name of Bank

I hereby empower the Agricultural and Rural Convention 2020 (ARC2020) to debit my bank account with the amount mentioned below. Concurrently, I also instruct my bank to pay the amount below, from my bank account, to the Agricultural and Rural Convention 2020 (ARC2020).

Note: I may request, within eight weeks of the debit date, a refund of the amount debited. This is subject to my banking terms and conditions, as applicable.

The mandate reference number will be provided in the debit on your bank statement.

Please send me a donation receipt.

(A donation receipt can be issued for a minimum amount of € 50.)

Contact Details

MrsMrNo info

First Name

Second Name

Company / Organisation

Street

Post Code / City

Email *

Phone Number

Message

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