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direct_debit_en - easy pay/direct debit form Orange account...

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easy pay/direct debit form Mr Ms first and last name email street/no. postal code/city I 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. IBAN name of bank address of branch place and date signature bank clearing no. IBAN name of bank corrections (please leave empty, to be completed by the bank) billing address debit authorisation with contestation option
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