New regular invoice payment agreement

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You are kindly asked prior to the approval of the agreement to check with the list the customer identifier(s) assigned by the service provider as well as the fact whether the service provider admits payment or invoices drawn to another person within the framework of the regular invoice payment service.

From account: * Balance: 50.00 EUR

Agreement number:

121212

Valid from: *

Open-ended

Beneficiery: *

Identifier : *

Customer's identifier assigned by Receiver (Service provider)

Customer account: *

Maximum amount: *

Maximum sum which is allowed to be transfered from the account of the customer in the framework of this agreement in order to cover the payment received. The invoices exceeding the limit set will not be paid.

Number of attempts:

Partial payment of the invoice:

I’d like to receive the information on invoices to my e-mail

E-mail address: *

* Required fields