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The data entered in this form is transmitted to SIX Payment Services AG (SIX) in unencrypted form via the internet for processing. Unencrypted electronic communication channels are not secured against access by unauthorized third parties and thus involve corresponding risks, e.g. insufficient confidentiality, manipulation of content or sender data, misrouting, delay, or viruses. You accept the risk of disclosure of your banking relationship and banking information to SIX and possibly other third parties, and hereby release CS from all liability for damage from the use of this form and assume responsibility for all consequences and any damages that may arise at any time due to any use of the Data by SIX and/or any third parties.

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