Credit Card Form 2 UPE - Vodafone

Credit card form IICharge my credit card every monthAuthorisation formYes! I’d like to enjoy the freedom of ‘pay by card’ automatic debit of my monthly Vodafone bill through credit card belonging to and standingin the name of, my (relationship)residing atI understand that the said payment option is for facilitating me to make my Vodafone bill payments and I agree and confirm that theresponsibility and liability for payment of my Vodafone bill is on me and in the event of default by the credit card holder, I will be liable andresponsible for making the outstanding payments to Vodafone.Customer’s nameVodafone relationship numberVodafone numberCustomer’s signatureAcceptanceI, , residing at having a credit card, details of which arebelow, hereby accept, confirm and agree to make payment of Vodafone bills relating to the below mentioned Vodafone number through mycredit card. The entire amount of monthly bill relating to Vodafone mobile phone rentals, Vodafone bills and/or related expenses on account ofthe Vodafone relationship numberin the name ofVodafone numbermy (relationship)residing atshould be debited to myVISA Master Diners AMEXCredit card numberExpiry dateIssued byDate of birth

I understand and undertake that• expenses related to the aforesaid Vodafone number are to be charged to my above credit card (monthly, earlier, for any interim payment or ifand when accrued).• the record of charges in respect of the above services received or availed by the aforesaid customer and submitted by Vodafone to mycredit card will neither bear my signature nor the imprint of my card.• these instructions are valid on an ongoing basis till I issue instructions to the contrary in writing to the bank with a copy toVodafone Digilink Limited.I agree to inform Vodafone Digilink Limited, if my above credit card is cancelled, substituted or not renewed.I therefore, undertake to unconditionally honour and pay without demur and contestation the said charges when I am billed for the same bythe aforementioned bank.Card holder’s signature (as appearing on the credit card)Card holder’s name (as appearing on the credit card)(Enclose a photocopy of front sides of the credit card)CustomerCredit card holder and acceptorNote• The credit card should be in the name of the acceptor i.e. credit card holder.• Provide a photocopy of front sides of the credit card along with direct debit authorisation.• Automatic debit to the credit card will take place 17 days after the bill date or as and when the need arises. In case the transaction is notaccepted, payment should be made by cash or cheque to avoid restriction of facilities.• Authorisation will remain in effect till intimated otherwise in writing by the credit card holder.• Intimation in writing would be required if credit card subscription is not renewed. In such a case the outstanding payment should be clearedby normal payment modes.• In case of credit card account renewal, a fresh photocopy of the front of the credit card needs to be submitted toVodafone Digilink Limited.• All international credit cards are accepted.