Account Opening Form

PARTNER (if invoicing via agent)

Yes
No

SALES CONTACT PERSON

Name and Firstname

Job Position

Direct Phone Number

Email Address

ACCOUNTING CONTACT PERSON

Name and Firstname

Job Position

Direct Phone Number

Email Address

PAYMENT

Payment mode
Direct debit

Bank transfer

Credit card

Any payment by bank transfer has to be proceed on the following accounts:
- EUROS ACCOUNT: FR47 3000 2056 6600 0046 0248N30
- USD ACCOUNT: FR32 3000 2056 6600 0046 0249P91

DOCUMENTS TO ATTACH TO YOUR ACCOUNT OPENING FORM

By signing this document, I recognize to be informed and to approve your General Terms of Sale.
Click Here to download our General Terms of Sale.

Request Made by (Name and firstname)

Job Position

Date

SEPA Business-to-Business Direct Debit Mandate

By signing this mandate form, you authorise IEC Telecom Europe to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from IEC Telecom Europe. This mandate is only intended for business-to-business transations.

You have the right to be reimbursed by your bank according to the conditions described in the agreement that you spent with her.

A refund request must be submitted:
- Within 8 weeks from the date of debit of your account for an authorized levy
- Without delay and at the latest 13 months in the event of unauthorized levy

CREDITOR

Creditor Name : IEC TELECOM EUROPE

Creditor identifier (ICS) : FR39ZZZ806BCC

Address : IMMEUBLE LE CERAME - 47 AVENUE DES GENOTTES, CS 70007, 95895

City : CERGY POINTOISE CEDEX

Country : FRANCE

DEBTOR

NAME

ADDRESS

CITY

POST CODE

COUNTRY

IBAN

SWIFT

TYPE OF PAYMENT
Recurrent Payment

SIGNED IN

NAME AND FIRSTNAME

JOB POSITION

DATE

Note: Your right on this mandate are explained in a document that you can get from your bank. PLEASE FILL IN THIS FORM, STAMP AND SIGN IT AND SEND IT WITH YOUR BANK ACCOUNT DETAILS BY EMAIL TO: account-opening@iec-telecom.com

YOUR COMPANY INFORMATION

PARTNER (if invoicing via agent)

SALES CONTACT PERSON

ACCOUNTING CONTACT PERSON

PAYMENT

DOCUMENTS TO ATTACH TO YOUR ACCOUNT OPENING FORM

SEPA Business-to-Business Direct Debit Mandate

CREDITOR

DEBTOR