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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 here. Monthly fee payable in advance. I am over 18 years of age. 18month contract term.

Direct Debit Mandate

Creditor Identifier: IE20ZZZ303961

Skytel Networks Ireland Ltd

M2 McConnell Business Hall,
Kerlogue Industrial Estate,
Y35 TR7W

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

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.