The British Institute of Organ Studies 

CREDIT CARD+ AUTHORISATION

I wish to pay my BIOS subscription by credit card+ annually on the due date. Please charge the appropriate amount at the full* /concessionary* rate to the following account number, until further notice:
 
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Expiry date:


 
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+ Delta debit card also accepted, but not Switch                                                                                                                     *Strike through, as appropriate  
Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                Date: . . . . . . . . . . . . . . . . . . . . . . .

Name (as on card) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address (for card transactions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Please return the top copy of your completed form to the Membership Secretary or Treasurer (addresses on the main BIOS webpage)
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Please remember to inform BIOS if your provider or preferred card number changes.
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