DONIZETTI SOCIETY
Please print off and send the following form to the Donizetti Society Secretary:
Mr. Pip Clayton, 146 Bordesley Road, Morden, Surrey SM4 5LT, UK
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Title and Name |
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Address
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I wish to take out initial membership of the Donizetti Society at a cost of 12 GB Pounds Sterling.
If you wish to pay by credit card then please include below your credit card number, expiry date and security number (if your card has one). Our card clearer now requires the security number if there is one. The information is destroyed once the payment has gone through.
If paying by cheque, please make out a Sterling cheque to "Donizetti Society". If you wish to pay by interbank transfer, then please contact the secretary (see above) or email: info@donizettisociety.com for IBAN and Swift numbers.
Card type, delete as applicable |
Visa Mastercard American Express |
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Security number ...................... (usually the last 3 numbers on the signature block on the back of the card. For American Express, the number is four digits on the front of the card. Please note it is NOT your pin number) |
