Credit Card Authorization Form for Online, Over the Phone & / or
If you would like to use Vodafone Egypt’s Online, Over the phone & / or Mobile Payment Service to pay the Vodafone bill. Kindly complete this form and include a photocopy of front and back of signed credit card and fax it to 02- 529-2676. Once your form is processed and accepted you will be able to make Online, Over the phone & / or Mobile payment. The mobile no. listed below will be used to notify you for initiation of service and transaction (s) confirmation. ? For Online Payments register and log on to our website at http://www.vodafone.com.eg ? For payments Over The Phone, please call 881 from your mobile. ? For Bill payment & / or Recharge, please use your Vodafone SIM menu on your mobile. Should you have any questions, please call 881 from your mobile.
Name must be as it appears on your credit card.
Name Birth Date Vodafone Account Number (as Mobile No.
DD/MM/YY it appears on the mobile bill)
010- Address must match your credit card billing address.
Street Name and Number Apartment Number
District Postal Code City
Work Phone Home Phone Alternative Phone ( ) - ( ) - ( ) -
Payment Information Payment Method (Please check beside desired method)
? Online Payment or Over ? Direct Debit (Post-Paid The Phone by ? Mobile Payment Only) calling 881
VISA Master Card Bank Misr Card
Credit Card Number Exp. Date MM / YY
CVV (4 or 3 digit printed on the signed strip next to your card number) ‘Optional’
Date Credit Card Holder’s Signature: X____________________________________ / /
In case of authorizing bill payments to accounts other than that of credit card holder I herby authorize to make bill payments from my credit card mentioned above to the benefit of the customer’s mobile account number mentioned herein below.
Name Vodafone Account Number (as it Mobile No.
appears on the mobile bill)
By signing this form, I hereby confirm that the information filled above is true and correct. I accept the terms
and conditions on the reverse side of this agreement. I understand and accept that if the information filled Page 1 of 2 are incorrect, Vodafone Egypt reserves the right to disconnect the service until I provide the correct
information. Where applicable I authorize Vodafone Egypt to charge my credit card in accordance with the
payment terms agreed upon. Customer’s Signature: X______________________ Date: / /
Credit Card Authorization Form Terms and Conditions:
? By my signature to this application, I hereby authorize Vodafone Egypt to
charge my Credit Card when used in conjunction with the Vodafone Egypt
payments services, which I provide its details herein and which I provided
a photocopy attached to this application.
? I understand that based on my signature and the correctness of my
information Vodafone shall be authorized to charge my Credit Card of the
amount I request to Vodafone, therefore, I hereby represent and warrant
that I shall not object without guaranteed right to any payment(s) charged
to my credit card by Vodafone Egypt in accordance with the terms and
conditions herein to my card issuer.
? This application, upon its completion and signature, shall be considered
an integral part of the mobile service agreement I signed with Vodafone. ? I understand that I may request for payment(s) for other mobile numbers
and that I may not use this to claim or object to such payment(s) to the
? I understand that continuation of the service is a decision of Vodafone
Egypt with no further liability to myself.
? The Payment Notification in any of the following methods (SMS – Email –
Phone confirmation) will be considered a proof of payment unless
Vodafone or the Credit Card issuer can prove otherwise. The customer
may request a payment(s) certificate from Vodafone at any time upon
affecting the payment(s). This request shall be made to the address: 7 A
Corniche El Nil, Maadi, Cairo, 11431 – Attn. Legal Manager. This request
may require more than 24 hours for processing.
? The regular service level for reflection of payment(s) on our system is
48hours from time of transaction.
? Unscheduled and scheduled downtime for the service is expected which
could result in an inability to access the service & execute payment(s) or a
delay in payment(s) reflection.
? For online payment(s) Credit Card information is provided through a
secured web site, which is provided by a third party provider. Your claims
regarding any leakage of information shall directed to this third party
provider upon prior arrangement with Vodafone.
? Any claim that may arise out of or in connection with these terms and
conditions or the application of this service shall be resolved in
accordance with the Egyptian laws in effect and shall be subject to the
jurisdiction of the Cairo court exclusively.
? I understand that I may require further services from Vodafone and that I
hereby authorize Vodafone to charge my credit card for the fees for any
additional service I may require.
Page 2 of 2 Customer’s Signature: X_________________ Date: / /