Gift Redemption Form

Please complete the following Gift Redemption Form in English with BLOCK letters, and return it to the China CITIC Bank International (the "Bank") by fax or by mail for redemption.
By fax: 3603 4638 (If you have faxed your Gift Redemption Form, please do not mail it again to avoid
duplication); or
By mail: China CITIC Bank International, P.O. Box 44083, Shaukeiwan Post Office, Hong Kong.

I would like to redeem the following gift item(s) with my CNCBI Credit Card, please deduct the required Rewards Points from the designated Credit Card account.
CNCBI Credit Card Account No.: - - -
Validity (mm/yy):
 /
Name:
 Mr. / Ms. / Miss
Daytime Contact Phone Number:

Gift Redemption 
Note : Please refer to the item code(s) shown on the Gift Redemption List.  
Item Code Quantity* Required Rewards Points
 
Total  
Total Rewards Points  
*Applicable to the Cardmembers redeeming 3 or more gift items in total. Please select :
Please send the gift items to me by registered mail. I agree to settle the postage cost / handling fee (HK$20) with the designated Credit Card account.
Please send the gift items to me by ordinary mail. I agree to be fully responsible for any loss in the event of non-receipt or any damage caused.

I confirm that the above information is true and complete, and agree to all relevant Terms and Conditions, including the Terms and Conditions for "Bonus Point Rewards Program".
 
Cardmember's signature
(must be the same as the signature on the Credit Card)		 Date