日本語九十日 Deposit account transfer request form

Deposit account transfer request form/ automatic payment application form.

Entrusted company name: Rakuten Card Co., Ltd. Usage fee All storage company name: Rakuten Card Service Co., Ltd.

I would like to pay the amount billed by Rakuten Card Service Co., Ltd. from the following deposit account in my name by direct debit as follows, so I will request it after making a promise of the terms stated on the back side.

(Excluding Japan Post Bank) If you specify Japan Post Bank, the automatic payment rules will apply.

Designated payment account.

Yokin kōza furikae irai-sho jidō haraikomi riyō mōshikomisho.

Itaku kigyō-mei: Rakuten kādo (kabu) go riyō dai zen shūnō kigyō-mei: Rakuten kādosābisu (kabu)

Watashi wa, rakuten kādosābisu kabushikigaisha kara seikyū sa reta kingaku o watashi meigi no kaki yokin kōza kara tsugi no tōri yokin kōza furikae ni yori shiharau koto ni shitainode, rimen kisai no jōkō o kakuyaku no ue irai shimasu.

(Yūchoginkō o nozoku) yūchoginkō o go shitei no baai wa jidō haraikomi kitei ga tekiyō sa remasu.

O shiharai shitei kōza

預金口座振替依頼書・自動払込利用申込書

収 : Osamu : Revenue : Thâu

加 : ka : Addition : Gia

委託企業名：楽天カード（株）ご利用代全収納企業名：楽天カードサービス（株）

私は、楽天カードサービス株式会社から請求された金額を私名義の下記預金口座から次のとおり預金口座振替により支払うことにしたいので、裏面記載の条項を確約のうえ依頼します。

(ゆうちょ銀行を除く）ゆうちょ銀行をご指定の場合は自動払込み規定が適用されます。

お支払い指定口座