Credit Refund - WP

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Origin account number **

You can find this on the bill we sent you.

Email **

Full name on account **

Phone **

Including area code (we’ll only contact you if there’s a problem)

Account address

Street address **

Suburb *

State **

FORWARDING ADDRESS

My forwarding address is the same as account address

Street address

Suburb

State*

Preferred refund method

If you previously had a direct debit set up with us, we may be able to deposit the refund directly to your nominated account, if the bank or credit card account details you gave us are still valid.

If you weren’t a direct debit customer - or your bank details have changed - no problem, we’ll post you out a cheque.

Preferred refund method * By choosing ‘Deposit to nominated account’ you consent to us using the bank details you had set up with us from your former Origin direct debit

Deposit to nominated account Post a cheque