Get Standing Order Set Up Form 2013-2024

3MM BLEED Standing Order Set Up Form and cancelled using AIB Internet Banking KIOSK. Please complete in BLOCK CAPITALS using black or blue pen Date DD/MM/YYYY / Do not write on barcode SV PMS please X Non-printing Colours COLOUR JOB LOCATION PRINERGY 3 Personal Customers If you wish to add remittance information max 140 characters with your payment the request can only be actioned using AIB Internet Banking at a Kiosk in your local branch or by contacting Direct Banking on 0818 724 724 or 353 1 7712424. Please note a Card Reader is required online and over the phone for standing order amendments. Business Customers please contact your local AIB Branch for more details. I/We hereby authorise and request you to DEBIT my/our account I B K E A D Sender IBAN Sender Account Name Amount in words with the amount of. and to CREDIT Receiver Account Name Receiver BIC Receiver IBAN Bank and Branch Receiver Reference To show on Receiver s statement Please Allow 5 Working Days Prior To First Payment Frequency please X box Start Date DD/MM/YYYY AIB/F149 10/13 Until Further Notice OR Signature Weekly Fortnightly Every 4 weeks Monthly Quarterly Half yearly Final Payment Date Annually No of Payments It shall be understood that the Bank shall not be under any liability for damage or loss caused by any omission to make these payments Allied Irish Banks p*l*c* is regulated by the Central Bank of Ireland AIB600F149. indd 1 Staff Number Y To the Manager AIB insert Branch name Sender BIC M PMS 262 Affix brand here Bank use only C 23/10/2013 11 46. Please note a Card Reader is required online and over the phone for standing order amendments. Business Customers please contact your local AIB Branch for more details. I/We hereby authorise and request you to DEBIT my/our account I B K E A D Sender IBAN Sender Account Name Amount in words with the amount of. I/We hereby authorise and request you to DEBIT my/our account I B K E A D Sender IBAN Sender Account Name Amount in words with the amount of. and to CREDIT Receiver Account Name Receiver BIC Receiver IBAN Bank and Branch Receiver Reference To show on Receiver s statement Please Allow 5 Working Days Prior To First Payment Frequency please X box Start Date DD/MM/YYYY AIB/F149 10/13 Until Further Notice OR Signature Weekly Fortnightly Every 4 weeks Monthly Quarterly Half yearly Final Payment Date Annually No of Payments It shall be understood that the Bank shall not be under any liability for damage or loss caused by any omission to make these payments Allied Irish Banks p*l*c* is regulated by the Central Bank of Ireland AIB600F149. and to CREDIT Receiver Account Name Receiver BIC Receiver IBAN Bank and Branch Receiver Reference To show on Receiver s statement Please Allow 5 Working Days Prior To First Payment Frequency please X box Start Date DD/MM/YYYY AIB/F149 10/13 Until Further Notice OR Signature Weekly Fortnightly Every 4 weeks Monthly Quarterly Half yearly Final Payment Date Annually No of Payments It shall be understood that the Bank shall not be under any liability for damage or loss caused by any omission to make these payments Allied Irish Banks p*l*c* is regulated by the Central Bank of Ireland AIB600F149. indd 1 Staff Number Y To the Manager AIB insert Branch name Sender BIC M PMS 262 Affix brand here Bank use only C 23/10/2013 11 46. .