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upc communications ireland limited
Building P2, Eastpoint Business Park, Dublin 3
Registered in Ireland number 435668, VAT number IE9661858K
SME Business Direct debit mandate
UPC origination number:
992847
Customer information
Full company name
Account number
Company address
Contact phone number
Customer bank account details
Name of account holder
Bank name
Bank address
Bank account number
Sort code
I/We instruct you to pay Direct Debits from my account at the request of UPC. The amounts are variable and
may be debited on various dates in accordance with my billing frequency. I understand that if a Direct Debit is
paid which breaks the terms of this instruction, the Bank will make a refund.
Note - banks may decline to accept instructions to charge a Direct Debit to any account other than a Current Account
Authorisation
Print Name
Authorised Signature
Date
Please return completed forms to:
upc communications ireland limited, Business Credit Control, Building P2, Eastpoint Business Park, Dublin 3
upc business
Customer Care 1800 924 220