SEPA Direct Debit Mandate

By submitting this mandate form, you authorize the mentioned creditor to send instructions to your bank to debit your account and your bank to debit your account in accordance with the instructions from the mentioned creditor.


As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.


Payee: M-Surance Versicherungskanzlei und Treuhand GmbH

IBAN: AT31 2011 1829 8138 5200

A-2460 Bruckneudorf, Bahnhofplatz 4/2

Gläubiger-Identifikationsnummer (Creditor ID):