SFA form Direct Debit

Step 1 - Fill in your details

First Name*

Last Name*

Company name*

Job Title*

Address*

City*

Post Code*

Country*

Company Telephone*

Email address*

Website

How were you first introduced to the Small Firms Association?*

Step 2 – select the SFA membership option that best suits your company

SFA membership plan*

Number of Employees:	Total Fee	2024	2025
SFA / 1 - 20 employees	€944 + VAT	€244	€700
SFA / 21 - 30 employees	€1,008 + VAT	€253	€755
SFA / 31 - 40 employees	€1,200 + VAT	€310	€890
SFA / 41 - 50 employees	€1,360 + VAT	€350	€1,010
SFA+ Technology: 1 - 20	€1,392 + VAT	€357	€1,035
SFA+ Food & Drink: 1 - 50	€1,392 + VAT	€357	€1,035
SFA+ Medtech: 1 - 5	€1,536 + VAT	€391	€1,145
SFA+ Cosmetics & Detergents: 1 - 20	€2,768 + VAT	€703	€2,065

Step 3 – Payment details

Prerequisite check

Before completing the Online SEPA Direct Debit Mandate form, please answer the following questions:

Is the bank account a Republic of Ireland bank account?*

Yes

Can the bank account accept Direct Debit?*

Yes

Is more than one signatory required to sign on your account?*

Yes

Direct debit - Creditor’s details

Creditor name

SFA

Creditor address

84-86 Lower Baggot Street, Dublin 2

Creditor identifier

IE83ZZZ306222

Unique mandate reference

We will advise you of the UMR before the first initiation of a collection.

Please note that as you have signed up online or by telephone and have not signed a paper mandate, you authorise (A) SFA to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instruction from SFA.

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 receive from your bank.

Direct debit form details

Debtor(s) name*

Debtor(s) address*

BIC*

IBAN*

Select direct debit type*

Explanation of payment of type options

‘Once off’ – a single direct payment on the 1st of January of each year, or on the 1st of the following month after sign-up.
‘Recurring – monthly’ – recurring on the 1st of each month
‘Recurring – quarterly’ – recurring on the 1st of January, 1st of April, 1st of July and 1st of October.

Salutation*

First name*

Last name*

Company*

Email address*

Telephone*