The data entered in this form is transmitted to SIX Payment Services AG (SIX) in encrypted form via the internet for processing. You accept the risk of disclosure of your banking relationship and banking information to SIX and possibly other third parties, and hereby release UBS from all liability for damage from the use of this form to the extent allowed under the law.
By providing your telephone number and/or e-mail address, you give your express consent that SIX may contact you by phone and/or unsecured e-mail.
Please note: The use of e-mail can involve substantial risks such as lack of confidentiality, potential manipulation of content or sender's address, wrong recipient, viruses, etc. UBS assumes no responsibility for any loss or damage resulting from the use of e-mails. UBS recommends that you do not send any sensitive information, that you do not include details of the previous message in any reply, and that you enter e-mail addresses manually every time you write an e-mail.