Cidade. Postal code City Country Account number - IBAN SWIFT BIC Insurer name Insurer identifier Street name and number Postal code City Country Policy number Recurrent payment or One-off payment Location Date Signature (your rights regarding the above mandate are explained in a statement that you can obtain from your bank)
Appears in 6 contracts
Samples: www.jsousaseguros.com, www.fjseguros.pt, www.fjseguros.pt
