Credit Card Auto-Debit Enrollment Form Complete flup tis form and son to Sky Cable Corporation 34F Tete East Tower, Exchange Road, Ortigas Centr, Pay Ciy 1600. Fax No. 632- ‘9048 / 6356406. Incomplete forms wil nt be processed. Philippines 1 "2 Hotline: 381 0000 (Please use BLACK pen in acomplshng tis fom ) Cable TV Account Details Cable TWiSkyBroadband/SkyVoioe Account No 2a STO SubscribersName TENONAND G- Co Complete Bling Address: 4 20 WAMU CF. acd. OWE Lint Gum Cony eT _npaiVe Contact Nos. Home: _ O1- au Office: _DL~ @ 999 FaxNo: __02- $ODUFLo Emal Address: _fardito t 2-yahev= Com Poste change my montlyquatrisemi-annuallannul Cable TV /SkyBroadbend ShyVoice subscription to American Exess ub Vis Matrcrd BPI Express Credit ‘Visa (Local Only) ial ra ners / Diners Masterar Credit Card No. aia ]s fu fafa fo fo ifr f2 fa fs || ata fe | Expiry pate/ ft |19 P rdholder’s Name: CPPHHEWINE™ Le Sts outer Aptcaton: fu) | understand hat (| wile ile aomaticaly though my cred car mony and wi no onger ei my monty sateen of acxount and (2) should he ‘card company disapprove the charging va my rec card, Sky Cable Comoran haste ight revert my payment mode regular bling Other Payment Options: * Sky Cable Branches [MAIN OFFICE: 23 Tektite East Tower, Exchange Road, Origas Center, Pasig City ‘SAN JUAN OFFICE: 409 P. Guevara cor. oanez is, San Juan PARATIAQUE OFFICE: GF Door C Fortuna Bldg, 8272 DA Santos Ave, (Suoat Rd.) or. Vtalez Compound San Iso, Paranaque Cty MANILA OFFICE: 2836 GF Manor Buin, Tat Ave, Malate, Manda © Over-the-counter bank paymenis Asiairst, Banco de Oro, East West Bank, Planers Development Bank, RCBC Savings Bank, Unionbank and United Coconut Pants Bank (ucra) © ATM payments BP Expressteler, Bancne and Megalink = Aozrediiod Bayad Cantos © AIISM Payment Centers (except SAVEMORE) “For IG, ltbank, BDO, HSBC, Diners / Diners Mastercard, Unionbank /Luming-Visa and Metrobank edi cards, enrlimontis coursed directly through te cad company Pee mene //4/2v! rete