회원가입(자동이체동의서)

<v:rect style="Z-INDEX: 0; POSITION: absolute; WIDTH: 593.25pt; HEIGHT: 111.22pt; v-text-anchor: top; mso-position-vertical-relative: page; mso-position-vertical: absolute; mso-position-horizontal-relative: page; mso-position-horizontal: absolute" id=_x73693288 stroked="f" fillcolor="#d9d9d9"><v:fill opacity="1.00" color2="#000000"></v:fill></v:rect>회비 자동이체(CMS) 동의서 □ 신규, □ 변경   ■ 후원 기관 <TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.04pt; BORDER-TOP: #000000 1.7pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 기관명</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.04pt; BORDER-TOP: #000000 1.7pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 김해노동인권상담센터</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 104.91pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.04pt; BORDER-TOP: #000000 1.7pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 대표자</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 133.21pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.04pt; BORDER-TOP: #000000 1.7pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 1.41pt" vAlign=center> 이재성</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.04pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 고유등록번호</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.04pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 615-80-22720</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 104.91pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.04pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 연락처</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 133.21pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.04pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 1.41pt" vAlign=center> 905-5595(010-8603-5443)</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1.7pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.04pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 기부 내용</TD> <TD style="BORDER-BOTTOM: #000000 1.7pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 357.18pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.04pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=3> □ 정회원 □ 후원회원 □ 기타( ) </TD></TR></TBODY></TABLE>   ■ 후원금 자동이체 약속 사항 <TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.74pt; BORDER-TOP: #000000 1.7pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 후원 신청인</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 121.89pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.74pt; BORDER-TOP: #000000 1.7pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 102.08pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.74pt; BORDER-TOP: #000000 1.7pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 출 금 일</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 133.21pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.74pt; BORDER-TOP: #000000 1.7pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 1.41pt" vAlign=center> □ 5일 □ 15일 □ 25일 ※ 미납 시 5일 단위 재청구됩니다.</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 25.4pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 후원 금액</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 357.18pt; PADDING-RIGHT: 1.41pt; HEIGHT: 25.4pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=3> □ 10,000원 □ 20,000원 □ 기타( 원)</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 26.45pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 후원 동의 거래은행</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 357.18pt; PADDING-RIGHT: 1.41pt; HEIGHT: 26.45pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=3> □국민 □농협 □우리 □신한 □하나□SC □기업 □외환 □씨티 □새마을금고 □우체국 □부산 □대구 □경남 □광주□전북 □제주 □수협 □신협 □동양증권 □삼성증권</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 후원 동의 계좌번호</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 357.18pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 1.41pt" vAlign=center colSpan=3>   </TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 예금주명</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 121.89pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 102.08pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 예금주 생년월일</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 133.21pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 1.41pt" vAlign=center> *법인은 사업자번호</TD></TR> <TR> <TD style="BORDER-BOTTOM: #000000 1.7pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 119.06pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 예금주와의 관계</TD> <TD style="BORDER-BOTTOM: #000000 1.7pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 121.89pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> □ 본인 □ 대리인</TD> <TD style="BORDER-BOTTOM: #000000 1.7pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 102.08pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 예금주휴대폰번호</TD> <TD style="BORDER-BOTTOM: #000000 1.7pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 133.21pt; PADDING-RIGHT: 1.41pt; HEIGHT: 19.85pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 1.41pt" vAlign=center>   </TD></TR></TBODY></TABLE>   금융거래정보 제공 및 개인정보의 수집·이용, 개인정보 제 3자(결제기관) 제공을 동의하며 상기와 같이 출금이체거래를 신청합니다. <TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 1.7pt solid; BORDER-LEFT: #000000 1.7pt solid; PADDING-BOTTOM: 8.5pt; PADDING-LEFT: 8.5pt; WIDTH: 476.24pt; PADDING-RIGHT: 8.5pt; HEIGHT: 218.36pt; BORDER-TOP: #000000 1.7pt solid; BORDER-RIGHT: #000000 1.7pt solid; PADDING-TOP: 8.5pt" vAlign=top> ◇ 개인정보 및 고유식별정보 수집 및 이용 동의 ◇ ▶ 수집 및 이용목적: 자동이체(CMS)를 통한 요금 수납 ▶ 수집항목 개인정보: 성명, 전화번호, 휴대전화번호, 신청계좌 거래은행명, 출금계좌번호 고유식별정보: 주민등록번호 ▶ 보유 및 이용기간: 수집, 이용 동의일 부터 자동이체 종료일(해지일)까지 ▶ 신청자는 개인정보 및 고유식별정보 수집 및 이용을 거부할 수 있습니다. 단, 거부 시 자동이체 신청이 처리되지 않습니다. <TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 59.63pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 15.65pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 개인정보</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 167.17pt; PADDING-RIGHT: 1.41pt; HEIGHT: 15.65pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> □ 동의함 / □ 동의하지 않음</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 70.95pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 15.65pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 고유식별정보</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 158.68pt; PADDING-RIGHT: 1.41pt; HEIGHT: 15.65pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> □ 동의함 / □ 동의하지 않음 </TD></TR></TBODY></TABLE>   ◇ 개인정보 제3자(결제기관) 제공 동의 ◇ ▶ 개인정보를 제공받는 자: 효성에프엠에스(주) ▶ 개인정보를 제공받는 자의 개인정보 이용 목적: 자동이체서비스 제공 ▶ 제공하는 개인정보의 항목: 거래은행명, 계좌번호, 개인생년월일, 휴대전화번호 ▶ 개인정보를 제공받는 자의 개인정보 보유 및 이용기간: 동의일부터 자동출금이체 종료일(해지일)까지. 단, 관계 법령에 의거 일정기간 동안 보관 ▶ 신청자는 개인정보에 대해 수납업체가 효성에프엠에스㈜에 제공하는 것을 거부할 수 있습니다. 단, 거부 시 자동이체 신청이 처리되지 않습니다. <TABLE style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-COLLAPSE: collapse; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid"> <TBODY> <TR> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 226.6pt; PADDING-RIGHT: 1.41pt; BACKGROUND: #d9d9d9; HEIGHT: 15.65pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> 제3자(결제기관) 개인정보 제공에 동의 합니다.</TD> <TD style="BORDER-BOTTOM: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; PADDING-BOTTOM: 1.41pt; PADDING-LEFT: 1.41pt; WIDTH: 229.43pt; PADDING-RIGHT: 1.41pt; HEIGHT: 15.65pt; BORDER-TOP: #000000 0.28pt solid; BORDER-RIGHT: #000000 0.28pt solid; PADDING-TOP: 1.41pt" vAlign=center> □ 동의함 / □ 동의하지 않음 </TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>본 신청과 관련하여 본인은 금융거래정보를 출금이체를 신규 신청하는 때로부터 해지 신청할 때까지 상기 수납기관에 제공하는 것에 대하여 「금융실명거래 및 비밀보장에 관한 법률」의 규정에 따라 동의합니다.   2014년 월 일   개인정보 및 고유식별정보 수집 및 제3자(결제기관) 개인정보 제공에 동의 합니다. (서명)     예금주 (인 또는 서명)     ※ 신청인과 예금주가 다른 경우 반드시 예금주의 별도 도장 또는 서명을 받아야 합니다. <a href='javascript:fileFilterViewer("http://cfile282.uf.daum.net/attach/220E063554520AAE273D3C", "/cfile282/22/0E063554520AAE273D3C", "자동이체후원[2].hwp", "grpid%3D1JdmX%26fldid%3DPcHt%26dataid%3D154%26fileid%3D1%26regdt%3D20141030185419&url=http%3A%2F%2Fcfile282.uf.daum.net%2Fattach%2F220E063554520AAE273D3C")'><img src="https://t1.daumcdn.net/daumtop_deco/icon/icon.hanmail.net/editor/p_hwp_s.gif" border="0" alt="첨부파일" class="vam"/> 자동이체후원[2].hwp</a>