The electronic invoice, a green solution

Together with you, Proximus wants to play a pioneering role in the protection of the environment and the evolution towards a low-carbon society. Our electronic invoice is just one of the ways to achieve this. By completing and submitting this registration form, you request the switch from paper invoices to electronic invoices.

All fields are mandatory except those where "optional" is mentioned.

Electronic invoices

{{errorMessages.electronicInvoicesFor.required}} {{errorMessages.electronicInvoicesFor.pattern}}
The mobile account number can be found in the top right corner of your mobile invoice. {{errorMessages.mobileAccountNumber.required}} {{errorMessages.mobileAccountNumber.pattern}} {{errorMessages.mobileAccountNumber.pattern}} {{errorMessages.mobileAccountNumber.pattern}} {{errorMessages.mobileAccountNumber}} {{errorMessages.mobileAccountNumber.pattern}}
{{errorMessages.digitalInvoices.required}} {{errorMessages.digitalInvoices.pattern}}
eg xxxxxx; xxxxxx; xxxxxx (the mobile account number can be found in the top left corner of your other invoice(s)) {{errorMessages.mobileNumbers.required}} {{errorMessages.mobileNumbers.pattern}} {{errorMessages.mobileNumbers.pattern}} {{errorMessages.mobileNumbers.pattern}} {{errorMessages.mobileNumbers}} {{errorMessages.mobileNumbers.pattern}}
The customer number can be found in the top left corner of your fix invoices. {{errorMessages.customerNumberFixed.required}} {{errorMessages.customerNumberFixed.pattern}} {{errorMessages.customerNumberFixed.pattern}} {{errorMessages.customerNumberFixed.pattern}} {{errorMessages.customerNumberFixed}} {{errorMessages.customerNumberFixed.pattern}}
{{errorMessages.digitalInvoicesfixed.required}} {{errorMessages.digitalInvoicesfixed.pattern}}
eg xxxxxx; xxxxxx; xxxxxx (the invoicing account number can also be found in the top left corner of your invoice(s)) {{errorMessages.mobileNumbers.required}} {{errorMessages.mobileNumbers.pattern}} {{errorMessages.mobileNumbers.pattern}} {{errorMessages.mobileNumbers.pattern}} {{errorMessages.mobileNumbers}} {{errorMessages.mobileNumbers.pattern}}

Company data

{{errorMessages.company.required}} {{errorMessages.company.pattern}} {{errorMessages.company.pattern}} {{errorMessages.company.pattern}} {{errorMessages.company}} {{errorMessages.company.pattern}}

Requester's data

{{errorMessages.firstname.required}} {{errorMessages.firstname.pattern}} {{errorMessages.firstname.pattern}} {{errorMessages.firstname.pattern}} {{errorMessages.firstname}} {{errorMessages.firstname.pattern}}
{{errorMessages.name.required}} {{errorMessages.name.pattern}} {{errorMessages.name.pattern}} {{errorMessages.name.pattern}} {{errorMessages.name}} {{errorMessages.name.pattern}}
{{errorMessages.email.required}} {{errorMessages.email.pattern}} {{errorMessages.email.pattern}} {{errorMessages.email.pattern}} {{errorMessages.email}} {{errorMessages.email.pattern}}
{{errorMessages.emailvalidation.required}} {{errorMessages.emailvalidation.pattern}} {{errorMessages.emailvalidation.pattern}} {{errorMessages.emailvalidation.pattern}} {{errorMessages.emailvalidation}} {{errorMessages.emailvalidation.pattern}}
eg: 0456123456 {{errorMessages.CALLBACKCLI.required}} {{errorMessages.CALLBACKCLI.pattern}} {{errorMessages.CALLBACKCLI.pattern}} {{errorMessages.CALLBACKCLI.pattern}} {{errorMessages.CALLBACKCLI}} {{errorMessages.CALLBACKCLI.pattern}}

Invoice delivery method

{{errorMessages.electronicinvoicesvia.required}} {{errorMessages.electronicinvoicesvia.pattern}}
{{errorMessages.iban.required}} {{errorMessages.iban.pattern}} {{errorMessages.iban.pattern}} {{errorMessages.iban.pattern}} {{errorMessages.iban}} {{errorMessages.iban.pattern}}
{{errorMessages.email2.required}} {{errorMessages.email2.pattern}} {{errorMessages.email2.pattern}} {{errorMessages.email2.pattern}} {{errorMessages.email2}} {{errorMessages.email2.pattern}}
{{errorMessages.email2validation.required}} {{errorMessages.email2validation.pattern}} {{errorMessages.email2validation.pattern}} {{errorMessages.email2validation.pattern}} {{errorMessages.email2validation}} {{errorMessages.email2validation.pattern}}
eg: 0456123456 {{errorMessages.notification.required}} {{errorMessages.notification.pattern}} {{errorMessages.notification.pattern}} {{errorMessages.notification.pattern}} {{errorMessages.notification}} {{errorMessages.notification.pattern}}
{{errorMessages.adressType.required}} {{errorMessages.adressType.pattern}}
{{errorMessages.numberAdress.required}} {{errorMessages.numberAdress.pattern}} {{errorMessages.numberAdress.pattern}} {{errorMessages.numberAdress.pattern}} {{errorMessages.numberAdress}} {{errorMessages.numberAdress.pattern}}
(optional)
{{errorMessages.peppolNetwork.required}} {{errorMessages.peppolNetwork.pattern}}
{{errorMessages.remarks.required}} {{errorMessages.remarks.pattern}}

Warning: before validating, check that your e-mail address is spelled correctly. Data entry errors can result in documents being sent to a third party's mailbox by mistake. Proximus cannot be held liable for any such erroneous transmissions.

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