BUSINESS REPLY SERVICE SI593797E 1116 For Applicant ID: 824086
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Postage will be paid byaddressee.For pos
Postage will be paid byaddressee.For posting inSingapore &Malaysia only.BUSINESS REPLY SERVICESI593797E 11/16For Applicants CompletionMy/Our Name(s) as in Bank AccountMy/Our Bank/Finance Company Account No. My/Our Contact (Tel/Fax) Number(s)Please glue, seal and mail. (Do not staple).Please glue, seal and mail. (Do not staple).Please glue, seal and mail. (Do not staple).07/10My/Our Signature(s) (As in Bank/Finance Companys records)Please SignName of Approving Officer DateAuthorised Signature DateTo: The Manager, American Express International, Inc.,Crawford Road P.O. Box 852 Singapore 911912Attention: Credit Services DepartmentThis Application is hereby (please tick) for the following reason(s):Signature differs from Bank/Finance Companys records Signature incomplete/unclearAccount operated by signature/thumbprintWrong Account numberAmendments not countersigned by customer Others:For Bank/Finance Companys CompletionBank Branch Billing Organisations Account No.Bank Branch Account No. To Be Debited For Official Use Only 7 1 7 1 0 0 1 0 0 1 0 1 1 4 5 4 9American Express Card Account No.Verified by American Express International, Inc.. Box 852 Singapore 911912. www.americanexpress.com.sg Delaware, U.S.A. ®Registered Trademark of American Express CompanymexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMa.I/We hereby instruct you to process American Express International, Incs instructions to debit my/our account.b.You are entitled to reject American Express International, Incs instruction if my/ouraccount does not have sufficient funds and charge me/us a fee for this. You may alsoat your discretion allow the debit even if this results in an overdraft on the account andimpose charges accordingly.c.This authorisation will remain in force until terminated by your written notice sent tomy/o
ur address last known to you or upon rec
ur address last known to you or upon receipt of my/our revocation through theAmerican Express International, Inc.mexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMAmerican Express CardInterbank GIRO Application FormInterbank GIRO a safe and convenient way to settle your bills. It will help you establish a prompt payment record and give you greater charge flexibility on the Card. No deposit is required for accounts paid by GIRO.mexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMHow does Interbank GIRO work?1.Complete the application form to authorise your bank to debit youraccount as indicated for the amount due on your American Express Card account 10 days from your statement date.2. Your standing order will take effect when the GIRO deduction date isprinted on your statement. Processing will take 21 days. In the meantime, please continue paying your bills by cash or cheque.3.Check your monthly statements and ensure that you have sufficient fundsto cover your payments.DateTo: Name of Bank/Finance Company BranchName of Billing OrganisationAmerican Express Cardmembers Name Your American Express Card Account No.Card Expiry Date Y YAmerican Express International, Inc.For Applicants CompletionmexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMAmerican Express International, Inc., Incorporated with Limited Liability in mexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMPlease debit my account as indicated below: (Tick One)Minimum payment amount as calculated at 3% of my Outstanding Balance or S$50 (whichever is greater)Full payment amount mexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PM: If no selection is made, a default of FULL Payment will be implemented)American Express International Inc. (UEN S68FC1878J) Crawford Road P.O. Box 852 Singapore 911912. www.americanexpress.com.sgIncorporate with Limited Liability in
the State of Delaware, U.S.A. Register
the State of Delaware, U.S.A. Registered Trademark of American Express Company. © Copyright 2017 American Express Company.Postage will be paid byaddressee.For posting inSingapore &Malaysia only.BUSINESS REPLY SERVICESI593797E 11/16For Applicants CompletionMy/Our Name(s) as in Bank AccountMy/Our Bank/Finance Company Account No. My/Our Contact (Tel/Fax) Number(s)Please glue, seal and mail. (Do not staple).Please glue, seal and mail. (Do not staple).Please glue, seal and mail. (Do not staple).07/10My/Our Signature(s) (As in Bank/Finance Companys records)Please SignName of Approving Officer DateAuthorised Signature DateTo: The Manager, American Express International, Inc.,Crawford Road P.O. Box 852 Singapore 911912Attention: Credit Services DepartmentThis Application is hereby (please tick) for the following reason(s):Signature differs from Bank/Finance Companys records Signature incomplete/unclearAccount operated by signature/thumbprintWrong Account numberAmendments not countersigned by customer Others:For Bank/Finance Companys CompletionBank Branch Billing Organisations Account No.Bank Branch Account No. To Be Debited For Official Use Only 7 1 7 1 0 0 1 0 0 1 0 1 1 4 5 4 9American Express Card Account No.Verified by American Express International, Inc.. Box 852 Singapore 911912. www.americanexpress.com.sg Delaware, U.S.A. ®Registered Trademark of American Express CompanymexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMa.I/We hereby instruct you to process American Express International, Incs instructions to debit my/our account.b.You are entitled to reject American Express International, Incs instruction if my/ouraccount does not have sufficient funds and charge me/us a fee for this. You may alsoat your discretion allow the debit even if this results in an overdraft on the accoun
t andimpose charges accordingly.c.This a
t andimpose charges accordingly.c.This authorisation will remain in force until terminated by your written notice sent tomy/our address last known to you or upon receipt of my/our revocation through theAmerican Express International, Inc.mexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMAmerican Express CardInterbank GIRO Application FormInterbank GIRO a safe and convenient way to settle your bills. It will help you establish a prompt payment record and give you greater charge flexibility on the Card. No deposit is required for accounts paid by GIRO.mexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMHow does Interbank GIRO work?1.Complete the application form to authorise your bank to debit youraccount as indicated for the amount due on your American Express Card account 10 days from your statement date.2. Your standing order will take effect when the GIRO deduction date isprinted on your statement. Processing will take 21 days. In the meantime, please continue paying your bills by cash or cheque.3.Check your monthly statements and ensure that you have sufficient fundsto cover your payments.DateTo: Name of Bank/Finance Company BranchName of Billing OrganisationAmerican Express Cardmembers Name Your American Express Card Account No.Card Expiry Date Y YAmerican Express International, Inc.For Applicants CompletionmexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMAmerican Express International, Inc., Incorporated with Limited Liability in mexWel GiroApplFormB R1.ai 7/21/10 4:31:28 PMPlease debit my Account for Full Payment AmountAmerican Express International Inc. (UEN S68FC1878J) Crawford Road P.O. Box 852 Singapore 911912. www.americanexpress.com.sgIncorporate with Limited Liability in the State of Delaware, U.S.A. Registered Trademark of American Express Company. © Copyright 2017 American Express Compan