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BOARD EXAM FEE
n.b. Application forms should be sent to the ECVP Secretary and payments shold be made to the ECVP Treasurer.
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Method of payment:
BY BANK TRANSFER
Please remember to state your name on all bank payments. Please ensure that all bank
charges are pre-paid. Send bank transfers to:
ABN/AMRO Bank, Daalsesingel, Utrecht, The Netherlands
Account name and address: ECVP, Saturnveien 34B, 0492 Oslo, Norway
Account number: 44 04 89 970
SWIFT (BIC) Code : ABNANL2A
IBAN : NL65 ABNA 0440 4899 70
BY CREDIT CARD
Type of card (please check one): VISA or Eurocard/MasterCard
Card Number: ........................................................................................................................……..
Card Validation Code: __ __ __ Expiration Date: __ __ / __ __ Amount (Euro):_____________
(Last 3 digits in signature block on back of card)
Card owner's name (block letters): .......................................................................................……….
Card owner's address: ……………………………………………………………………………..
(Address where credit card
statements are received) ……………………………………………………………………………..
……………………………………………………………………………..
Authorised signature: ............................................................... Date: .......................................……
If you want to pay by credit card, PLEASE return this form to:
Mona Aleksandersen, DVM, PhD
Norwegian School of Veterinary Science
P.O.Box 8146 Dep.
N-0033 Oslo
Norway
tel : + 47 22 96 46 96
fax : + 47 22 96 47 64
email :
This page was last updated
June 14, 2007
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