Compter de la date dmission de la facture - boutique orange 2026

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The document is a SEPA direct debit mandate form that authorizes Orange to debit the payer's bank account for payments. It outlines the payer's rights, including the ability to request a refund within eight weeks of a debit. The form requires personal and banking information from the payer and must be returned to Orange upon completion.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the 'NOM et ADRESSE DU PAYEUR' section. Fill in your name, address, postal code, city, and country accurately.
Provide your phone number, ensuring it starts with the correct prefixes (01, 02, 03, 04, or 05). This is mandatory if you have a number.
Next, input your IBAN and BIC codes in the designated fields for account details. Ensure these are correct to avoid any issues with debits.
If the account holder differs from the payer, complete the 'NOM et ADRESSE DU TITULAIRE DU CONTRAT' section with their details.
Fill in the unique mandate reference and select the type of payment as 'Récurrent'.
Finally, sign and date the form at the bottom before submitting it to Orange at the provided address.

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