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.
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