New SEPA direct debit mandate

Add new bank details for your funeral pre-arrangement – enter your data, sign digitally, done.

SEPA mandate Change of address Correct my details Cancellation

Your details

First name * Last name * Membership number (if known) Date of birth (helps us match your policy)

New bank details (SEPA direct debit)

Street House number Postal code City

IBAN *

BIC (if known) Name of the bank

Payment interval * The account holder is not the insured person.

I authorise Vorsorgekasse Hoesch Dortmund Sterbegeldversicherung VVaG to collect the contributions from my account by SEPA direct debit (creditor ID: DE43 VKH 00000034600). This can be revoked at any time.

Notes for FURKAN

Signature

Place of signature * Date

Signature of the account holder * – please sign with your finger in the white box.

After submission, FURKAN Bestattungen prepares your signed document and submits it to the burial fund.

← Back to funeral pre-arrangement