By signing this mandate form you authorize MUMN.

• - To send instructions to your Bank to debit your account, the amount you indicated above.
• - Your bank to debit your account in accordance with the instruction from MUMN.
• - If the direct debit is rejected by the bank your MUMN membership is terminated immediately, and a euros administration fee will be charged.
• - Kindly send IBAN number if changed prior to your membership card expiry date.