Payment of Annual Fee by Credit Card (VISA and EUROCARD/MASTERCARD only)
A request to pay ECVP fees by credit card should be sent in writing to:
Dr Gabriele Pohlmeyer-Esch (Treasurer ECVP)
c/o Julie Fitzsimmons
ECVP Office
Veterinary Pathology
Crown Street
Liverpool L69 7ZJ
email: ecvpjf@liverpool.ac.uk
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Your request must include:
* Type of card (please select one):  VISA or Eurocard/MasterCard
* Card Number (complete)
* Card Validation Code: __ __ __ (Last 3 digits in signature block on back of card)
* Expiration Date: __ __ / __ __
* Amount (Euro): € _____________
* Card owner's name (block letters)
* Card owner's address (Please indicate home address if using a personal credit card)
* Signature of the card holder
Ensure that the name of the ECVP member is mentioned if that person is not the card holder.
This page was last updated
January 5, 2010
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