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Company name*

legal form*

VAT ID*

title

Managing Director / Owner*

Responsible contact for Supernova

E-mail contact

Street and house number*

Postcode*

city*

country*

Telephone (with country code)*

Kind of Store

e-mail*

Repeat your e-mail*

IBAN*

BIC*

I / We authorize (A) the payee (Supernova Design GmbH) to collect payments from my / our account by direct debit. At the same time (B) I / we instruct our credit institution to honor the direct debits drawn on my / our account by the payee (Supernova Design GmbH). Note: I / We can demand reimbursement of the debited amount within eight weeks, beginning with the debit date. The conditions agreed with my / our credit institution apply.

Here you can tell us something or give more information

I am with the Conditions I Agree. *

*Mandatory field

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