AUTO CHARGE PAYMENT ENROLLMENT FORM VIA DEBIT TO YOUR CREDIT CARD

ATTN: BDO Mastercard Name of Credit Card Company) c/o Globe TelecomBill Channels Management Gentlemen:

DATE: July 16, 2012

I, the Undersigned, being a credit cardholder of your company, with card number indicated below, wish to enroll my GLOBE MOBILE/GLOBE BROADBAND/GLOBE LANDLINE account(s) to your auto-debit payment/auto-charge facility. I give you the authority to pay all GLOBE MOBILE/ GLOBE BROADBAND/GLOBE LANDLINE monthly bills under my account number(s) stated below, and charge the same to my credit card account. In case my credit card limit is not adequate to pay my GLOBE MOBILE/GLOBE BROADBAND/GLOBE LANDLINE bill or the Credit Card issuer does not pay my bill in full for any reason, GLOBE TELECOM/INNOVE COMMUNICATIONS shall have the recourse to collect directly from me and shall additionally be authorized to immediately disconnect my account. I also understand that I should advise GLOBE TELECOM/INNOVE COMMUNICATIONS for any update on my information provided below. All other conditions in the One Globe Consumer Application continue to apply. This authorization shall be valid on a continuing basis unless cancelled by the undersigned in writing to GLOBE TELECOM/INNOVE COMMUNICATIONS or by GLOBE TELECOM/INNOVE COMMUNICATIONS NAME : ANGAS. SARAH JANE MAMALO Last Name Given Name Middle Name ADDRESS : Molave St,. New Isabela, Tacurong City CARD NUMBER : 5188 6903 6010 2108 CARDHOLDERS CONTACT NO.(s): 0917 509 73 88 CARD EXPIRY : DECEMBER. 2013 Account No.(s) Mobile No. 70101045 / Landline No. (s) 064 477 1132 For corporate accounts, please indicate if company is a withholding tax agent Yes No Please fax fully accomplished form to (02)739-3002 or send to Bill Channels Management 4/F Globe Telecom Plaza I, Pioneer corner Madison Streets, 1552 Mandaluyong City, Philippines or P.O. Box M-073 MPO, Mandaluyong Municipal Bldg., 1501 Mandaluyong City, Philippines. Attending Globe Store Agent*: Tagged/Enrolled by:

______________________________ __________________________ ______________________________ (Signature of Account Holder) (Signature over Printed Name) Signature over Printed Name *For Globe Store enrollments, agent to ensure that credit card number and signature on card are the same as the one on this form. ACCREDITED CREDIT CARD COMPANIES FOR GLOBE MOBILE: All VISA/Mastercard/BPI Express Credit/Diners Card/Amexco CREDIT CARD COMPANIES FOR GLOBE LANDLINE /GLOBE BROADBAND All VISA/Mastercard/BPI Express Credit/Diners Card EXCEPT Amexco and JCB INNOVE COMMUNICATIONS, INC. (A Wholly-owned Subsidiary of Globe Telecom) 1 2 3 4 AUTO CHARGE PAYMENT ENROLLMENT FORM VIA DEBIT TO YOUR CREDIT CARD ATTN: _________________________ DATE: ________________________ (Name of Credit Card Company) c/o Globe Telecom Bill Channels Management Gentlemen: I, the Undersigned, being a credit cardholder of your company, with card number indicated below, wish to enroll my GLOBE MOBILE/GLOBE BROADBAND/GLOBE LANDLINE account(s) to your auto-debit payment/auto-charge facility. I give you the authority to pay all GLOBE MOBILE/ GLOBE BROADBAND/GLOBE LANDLINE monthly bills under my account number(s) stated below, and charge the same to my credit card account. In case my credit card limit is not adequate to pay my GLOBE MOBILE/GLOBE BROADBAND/GLOBE LANDLINE bill or the Credit Card issuer does not pay my bill in full for any reason, GLOBE TELECOM/INNOVE COMMUNICATIONS shall have the recourse to collect directly

from me and shall additionally be authorized to immediately disconnect my account. I also understand that I should advise GLOBE TELECOM/INNOVE COMMUNICATIONS for any update on my information provided below. All other conditions in the One Globe Consumer Application continue to apply. This authorization shall be valid on a continuing basis unless cancelled by the undersigned in writing to GLOBE TELECOM/INNOVE COMMUNICATIONS or by GLOBE TELECOM/INNOVE COMMUNICATIONS NAME : ______________________ _____________________ ________________ Last Name Given Name Middle Name ADDRESS : _________________________________________________________________________ _________________________________________________________________________ CARD NUMBER : -

CARDHOLDERS CONTACT NO.(s): _______________________ CARD EXPIRY : ____________________________ Account No.(s) Mobile No. / Landline No. (s) For corporate accounts, please indicate if company is a withholding tax agent Yes No Please fax fully accomplished form to (02)739-3002 or send to Bill Channels Management 4/F Globe Telecom Plaza I, Pioneer corner Madison Streets, 1552 Mandaluyong City, Philippines or P.O. Box M-073 MPO, Mandaluyong Municipal Bldg., 1501 Mandaluyong City, Philippines. Attending Globe Store Agent*: Tagged/Enrolled by: ______________________________ __________________________ ______________________________ (Signature of Account Holder) (Signature over Printed Name) Signature over Printed Name *For Globe Store enrollments, agent to ensure that credit card number and signature on card are the same as the one on this form. ACCREDITED CREDIT CARD COMPANIES FOR GLOBE MOBILE: All VISA/Mastercard/BPI Express Credit/Diners Card/Amexco CREDIT CARD COMPANIES FOR GLOBE LANDLINE /GLOBE BROADBAND All VISA/Mastercard/BPI Express Credit/Diners Card EXCEPT Amexco and JCB INNOVE COMMUNICATIONS, INC.

(A Wholly-owned Subsidiary of Globe Telecom) 1 2 3 4 55