澳门商业银信用卡「积分优惠计划」品换申请表格
BCM CREDIT CARD "BONUS POINT PROGRAM" GIFT REDEMPTION FORM
申请日期 Application Date: _____________________________
卡户资 / Cardholder Information
卡户姓名 Cardholder's Name: ___________________________________________________________________________________________________________ 信用卡号码 络电话 Credit Card No.: ________________________________________________ Telephone No.: _________________________________________________
品资 / Gift Information
指定/推广品 / Specified or promotional items 品名称 Gift Name 品编号 Gift Code Qty 自选品 / Self-selected items 每件所需积分 Bonus Points Required/Unit 所需总积分 Total Bonus Points Required 所需额 ( 澳门币 ) Amount Required (MOP)
(如适用/If applicable)
总 /Total: 请将换通知书送到 (如适用) / Please send my redemption letter to (if applicable): __________________________________ 分/ branch 卡户之邮寄地址 / cardholder's mailing address
本人现申请换以上之信用卡品,并已阅及清楚解表格背面所载之澳门商业银信用卡积分优惠计划条款及细则.本人同 意授权澳门商业银从本人之信用卡账户内扣除换上述品所需之积分以及有关之额 (如适用). I hereby apply to redeem the above-mentioned gifts with my BCM Credit Card bonus points, and I have read and agreed to be bounded by the terms and conditions of this Bonus Point Program printed overleaf. I hereby agree to authorize BCM bank to debit my credit card account for the required bonus points and, if applicable, the required amount for my redemption of the above-mentioned gift(s). ______________________________________________________ 卡户签署 / Cardholder's Signature
(必须与信用卡背面之签署相同 / Please sign according to Credit Card's signature specimen)
商户专用 / FOR MERCHANT USE ONLY
「免费购物」积分品换时间:星期一至星期五［早上十时至晚上九时］ "Free Shopping" Bonus Point Gift Redemption Time: Monday to Friday (10:00 a.m. - 9:00 p.m.)
如上述为卡户於商户自选之品,有关之特约商户必须签署以确认品所需积分及所需之额 (如适用): The designated merchant must confirm the bonus points and the amount (if applicable) required in case the above-mentioned gift(s) is/are selected by the cardholder at the shop. 特约商户名称 Merchant Name: __________________________________ 特约商户号码 Merchant Code: __________________________________

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