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Payment Agreement Request

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Account Information

Are you the account owner

Account Number

Account First Name

Account Last Name

Country Code

Account Phone Number

Mobile Contact Number

Email Address

Confirm Email

Product Type

ID type

Other ID Type

Documents

Additional Documents

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10 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Authorized Contact's ID

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10 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Account Owner's ID

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10 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Payment Terms

Outstanding Amount

Initial Payment (3-6 months of outstanding balance)

Receipt/MMG Reference #

Number of Monthly Payments

Payment Terms
I hereby understand and agree that in order for me to retain my One Communications service and before the approval of my payment request by One Communications, I shall make a payment equivalent to one-third of the sum due and owing to One Communications by me. Once such payment is made and subsequently my payment request is approved by One Communications, I hereby agree to make payments in the amount stipulated by me hereof in addition to the current monthly charges for my One Communications service on or before the 10th day of each month. Moreover, I understand and agree that failure to make the previously mentioned payments to One Communications on the stipulated dates will result in my One Communications service being disconnected forthwith and without any notice to me, at which time the entire outstanding amount shall become due and payable by me to One Communications.

Payment Agreement Request

Payment Agreement Request

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Account Information

Documents

Payment Terms

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