AutoCharge Facility (ACF) for BPI Corporate Credit Cards
Authorization Form
IMPORTANT REMINDER
Accomplish and submit this form with a valid government-issued ID and your utility bill statement of account via
email to [email protected].
Kindly ensure that the BPI Corporate Credit Card you are nominating is active.
CARDHOLDER INFORMATION
Reminder: Kindly see to it that all information you supply in this form are consistent with the information as registered in your BPI Corporate Credit Card.
Principal Cardholder’s Name:
Company Name:
Mobile Phone Number:
PURPOSE
I want to:
Enroll my BPI Corporate Credit Card to the BPI AutoCharge Facility
Card Number Card Expiry (MM/YY):
Change/Update my nominated credit card and/or card expiry
From: Card Expiry (MM/YY):
To: Card Expiry (MM/YY):
Cancel my BPI AutoCharge Facility enrollment
Card Number Card Expiry (MM/YY):
UTILITY BILL DETAILS: MERALCO AUTOCHARGE
Account Name: Customer Account Number:
Account Name: Customer Account Number:
Input your 10-digit Customer Account Number found in your New Meralco Billing Statement. (See image as reference)
Please note that for Meralco, having an existing auto-charge or auto-debit enrollment with another Credit Card issuer
for the same account number will result in your BPI AutoCharge enrollment request being rejected. To ensure that
your enrollment request proceeds, kindly cancel your previous auto-charge or auto-debit arrangement rst prior to
submission.
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Bank of the Philippine Islands / Auto-Charge Facility (ACF) Authorization Form – Updated May 2022
UTILITY BILL DETAILS: GLOBE AUTOCHARGE
Account Name: Account Number:
Account Name: Account Number:
Input your Account Name and Account Number found in your Globe Postpaid or Globe At Home Billing Statement (See image as reference).
Your Account Number is different from your Mobile or Telephone Number.
Please note that for Globe, your new BPI AutoCharge enrollment request will supersede any existing auto-charge or
auto-debit enrollments with other Credit Card issuers.
SIGNATURE
By signing below, I conrm that I have read and agreed to the Terms and Conditions governing the BPI AutoCharge
Facility.
___________________________________
Cardholder’s Name and Signature
______________________
Date
___________________________________________________
Company’s Authorized Signatory Name and Signature
______________________
Date
Accomplish and submit this form with a valid government-issued ID and your utility bill statement of account via
email to [email protected].
Bank of the Philippine Islands / Auto-Charge Facility (ACF) Authorization Form – Updated May 2022
