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BOARD EXAM FEE
Please note: All forms should be sent to the ECVP Office.
Download this form in a printable format click the appropriate icon links  or 
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: .......................................……
Please return the form to the ECVP office whether you pay by bank transfer or by credit card:
ECVP Office
c/o Julie Fitzsimmons
Administrative Assistant
Department of Veterinary Pathology
Crown Street
Liverpool
L69 7ZJ
Email: ecvpjf@liverpool.ac.uk
Phone: +44 151 794 4258
Fax: +44 151 794 4268
This page was last updated
June 10, 2010
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