注意请以英文正楷填写并将此授权书交回香港总商会.PDFVIP

NOTE : Please write in Block Letters and return this form to The Hong Kong General Chamber of Commerce 注意： 請以英文正楷填寫並將此授權書交回 香港總商會 Direct Debit Authorisation 直接付款授權書 Date: _______________________________ Name of party to be credited (The Beneficiary) Bank No. Branch No. Account No. to be credited The Hong Kong General Chamber of Commerce - PaySmart 004 002 220663-008 I/We hereby authorise my/our below named Bank to effect transfers 本人 / 吾等現授權本人 / 吾等之下述銀行 ， from my/our account to that of the above named beneficiary in (根據受益人或其往來銀行不時給予本人 / 吾等銀行之指示) accordance with such instructions as my/our Bank may receive from 自本人 / 吾 等之賬戶內轉賬予上述受益人， the beneficiary from time to time provided always that the amount of any one such transfer shall not exceed the limit indicated below. 惟每次轉賬金額不得超過以下指定之限額。 I/We agree that my/our Bank shall not be obliged to ascertain whether 本人 / 吾等同意本人 / or not notice of any such transfer has been given to me/us. 吾等之銀行毋須證實該等轉賬通知是否巳交予本人 / 吾等。 I/We jointly and severally accept full responsibility for any overdraft 如因該等轉賬而令本人 / 吾等之賬戶出現透支 (or increrase in existing overdraft) on my/our account which may (或令現時之透支增加)，本人 / arise as result of any such transfer(s). 吾等願共同及各別承擔全部責任。 本人 / 吾等同意如本人 / I/we agree that should there be insufficient funds in my/our account to meet any transfer hereby authorised, my/our Bank shall be entitled, in 吾等之賬戶並無足夠款項支付該等授權轉賬，本人 / its discretion, not to effect such transfer in which event the Bank may 吾等之銀行有權不予轉賬， make the usual charge and that it may cancel this authorisation at any 且銀行可收取慣常之收費，並可隨時以一星期書面通知取 time on one weeks written notice.