Vodafone At Home change application form

Vodafone At
Home change
application form
Vodafone
Power to you
Vodafone At Home change application form
Instructions for customer:
1) To add additional name(s) to an existing account please complete section 1 and 2 below
2) To change account name please complete section 1 and 3a/b below
3) To transfer ownership please complete section 1 and 4a/b below. Along with a Customer Application Form
(sent with this email or downloaded online separately)
4) To amend payment details please complete the direct debit mandate on section 5 below
All requests will be completed within 7 working days; if any information is incorrect we will be back in touch with you within this time
Section 1 – Existing account information
Account information
Current Vodafone at Home account name
Account number
Telephone number
Address
Section 2 – Adding additional name(s) to an existing account
Additional account name(s)
I
confirm my consent to add the name(s) to my Vodafone at Home account
Existing customers signature
.
Date
New customer signature 1
Date
New customer signature 2
Date
/
/
/
/
/
/
Please note the existing terms and conditions will now apply to additional names added to the account along with the existing customer name.
Please see www.vodafone.ie/terms for full details
Section 3 – Change of account name (i.e. spouse or family member)
Change of account name
Section 3a to be completed by the existing customer
Reason for the request
I
wish to have my Vodafone at Home account at the above address transferred to
I
of the same address.
Existing customer signature
Date
/
/
Section 3b to be completed by the person taking over the account
I
wish to take over the account and accept all related charges and terms, both outstanding and in the
future relating to this line.
Mobile number
Email address
Date of birth
DD/MM/YY
New customers signature
Date
/
/
Change of account name continued
Section 3b continued:
If existing customer is unable to complete section 3a due to absence please detail below the reason for the change of name request:
Please note existing terms and conditions of service will apply to the new family member or spouse taking over the account.
Please see www.vodafone.ie/terms for full details
Section 4 – Transfer of ownership (i.e. new home owner or tenant)
Transfer of ownership
Section 4a to be completed by the existing customer
Reason for the request
I
wish to have my Vodafone at Home account at the above address transferred to
I
of the same address.
Date
Existing customer signature
/
/
On receipt of this request Vodafone will cease your billing. All outstanding bills up to this date will be sent to you directly. If you wish to have your bills sent to an alternative
address please enter the address below:
Section 4b to be completed by the person taking over the account
I
wish to take over the account for the telephone number
and accept all related charges and terms for this service as I am the current resident of the provided address.
Mobile number
Email address
Date of birth
DD/MM/YY
New customer signature
Date
/
/
If section 4a could not be completed due to the absence of the previous customer please attach documentation such as a copy of tenancy/lease agreement,
a landlords declaration of tenancy, an owners certificate or other documentation to indicate that you are resident at the service address.
Section 5 – SEPA Direct Debit Mandate
Creditor name and address: Vodafone Ireland Limited, MountainView, Leopardstown, Dublin 18.
Creditor identifier: IE82SDD305949
Bank details
Customer name on Bank or Building Society Account: (Deposit accounts not acceptable)*
International Bank Account Number (IBAN)*
Bank Identifier Code (BIC)*
SEPA Direct Debit Mandate
Date*
/
/
Signature 1*
Signature 2*
Upon setting up your SEPA direct debit, a confirmation letter will be sent to you
confirming your account number and your Unique Mandate Reference (UMR)
UMR
By signing this mandate form, you authorise Vodafone Ireland
to send instructions to your bank to debit your account,
and your bank to debit your account in accordance with the
instruction from Vodafone Ireland. 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 obtain from your bank.