Monthly Payment Card Form

Please complete fully the form below in order to set up the payment card you wish to use for your monthly £6.00 E-Club Pro Membership charge.

Remember - your membership will be for no fixed period, so you will remain a member until you tell us you wish to cancel, at which point your membership will be terminated with immediate effect.

 When you submit this page all the information will be sent to us using PGP encryption, and is thus totally secure.

Your Personal Details

Title
 

Your Full Name

 Your E-mail Address

The full address (including postcode in the UK) where your payment card is registered

Please provide the payment card details below

Mastercard or Visa

Card Number      Expiry (Please select carefully)   / 

Card Security Code   (the last 3 digits shown on your card signature strip)

OR

American Express

Card Number    Expiry (Please select carefully)   / 

OR

Maestro

Card Number       Issue No  

Valid from /     Expiry   / 

Card Security Code   (the last 3 digits shown on your card signature strip)

Please now press the SUBMIT button once. Thank you.