easy pay/direct debit formMrMsfirst and last nameemailstreet/no.postal code/cityI authorise my bank/post office, subject to contestation, to debit from my account bills issued by the recipient Orange Communications SA. If the balance of my account is not sufficient to proceed with the direct debit, no payment will be made and the bill will remain outstanding to Orange Communications SA. My bank/post office will notify me of every direct debit drawn from my account. If I return the signed debit slip contesting the payment to my bank/post office within 30 days, the amount debited will be reimbursed to me.postal account no.IBANname of bankaddress of branchplace and datesignaturebank clearing no.IBANname of bankcorrections (please leave empty, to be completed by the bank)billing addressdebit authorisation with contestation option
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Credit card, Direct debit, Orange Communications SA, Payment Administration/Direct Debit