I hereby authorise the payee Samuels Dance e.V. to collect the donation from my account by direct debit. At the same time, I instruct my payment service provider to redeem the direct debits drawn by the payee on my account.
Note: I can ask my payment service provider to reimburse the amount due within eight weeks of the debit date. The terms and conditions agreed with the payment service provider apply. If a direct debit has been made properly, an unauthorised chargeback can lead to failure to pay the ticket order on time. In this case the payee is entitled, but not obliged, to withdraw from the contract and to cancel the order. I agree that the advance notice can be made no later than one working day before the event date. If the event date is not a working day, the direct debit will take place on the following working day. I will forward the information about the due date to the account holder in the event of any deviation.
| Payee: | Samuels Dance e.V. |
| Creditor ID | DE03ZZZ00000860402 |
| Mandate reference: | shown separately. |
| Payment method: | Collection mandate |