(Wexford Town only)
I wish to apply for Rocket Broadband Services. I am authorised to act on
behalf of the
business or residence on this matter. I have read, understood and accept the terms and
conditions detailed at
payable in advance. I am over 18 years of age.
Creditors Name: Skytel Networks Ireland Ltd,
Creditors Address: M2 McConnell Business Hall,
Please note that as you have signed up online or by telephone and have not signed a paper mandate, you
authorise (A) Name of Creditor to send instructions to your bank to debit your account and (B) your bank to debit
your account in accordance with the instruction from (Name of Creditor)
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.