VISA payment form

Please print out this payment form, complete it and send it to : 

The Administrator
BCS, PO Box 22
RUGBY
Warwickshire
CV22 7SY
UK. 

Payment for: (please delete items that do not apply)
Membership / Subscription / Publication(s) / Gift / Other - please state

(If paying for publications, please include or refer to the invoice)

VISA number

Name: ............................................................. 

Address: ........................................................... 

.......................................................................... 

.......................................Postcode: ................... 

Date: ............................ 

Signature: ..........................................................