Home > Independent Retailer Offer 2018 Application
I certify the turnover (exc. V.A.T.) for the previous 4 years was:
Authorised persons must be one of the following: Business Owner/ Company Director/ Financial Controller.
Note: If your year end is not December 31st please use turnover figure from the financial statements in this twelve month period.
By signing this mandate form, you authorise (A) Repak Ltd. to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from Repak Limited. 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.
Note: Your rights regarding the above mandate are explained in a statement that you can obtain from your bank.