SFA Direct Debit Form

Join SFA

Note: Fields marked with * must be filled out.

Step 4 - Payment

Prerequisite check

Before completing the Online SEPA Direct Debit Mandate form, please answer the following questions:

Is the bank account a Republic of Ireland bank account?*

Yes

You must have an Irish account to proceed with online mandate

Can the bank account accept Direct Debit?*

Yes

Your Bank Account must be able to facilitate Direct Debits

Is more than one signatory required to sign on your account?*

Yes

We are unable to proceed with your mandate. Please contact accounts@ibec.ie to obtain a manual mandate

Direct debit - Creditor’s details

Creditor name

SFA

Creditor address

84-86 Lower Baggot Street, Dublin 2

Creditor identifier

IE83ZZZ306222

Unique mandate reference

We will advise you of the UMR before the first initiation of a collection.

Please note that as you have signed up online or by telephone and have not signed a paper mandate, you authorise (A) SFA to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instruction from SFA.

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. Your rights are explained in a statement that you can receive from your bank.

Direct debit form details

Debtor(s) name*

Debtor(s) address*

BIC*

IBAN*

Please select payment type:*

Once off

Recurring - monthly

Recurring - quarterly

Please select payment type

Explanation of payment of type options

‘Once off’ – a single direct payment on the 1st of January of each year, or on the 1st of the following month after sign-up.
‘Recurring – monthly’ – recurring on the 1st of each month
‘Recurring – quarterly’ – recurring on the 1st of January, 1st of April, 1st of July and 1st of October.

Your contact details

Salutation*

First Name*

Last Name*

Company*

Email address*

Confirm email address*

Email addresses should match.

Telephone*

SFA Membership Number*