EAESP - Membership: Request for credit card authorisation

European Association of Experimental Social Psychology

To promote European excellence in social psychology

Membership

Membership: Request for credit card authorisation

	Categories, fees and application procedures
	Evolution
	Membership list

The annual fee payable depends upon membership status. Check your membership status and corresponding fee.

Please fill in this form as accurate as possible. All fields are required. If you do not wish or are not able to submit this form, please print this form ( PDF 52KB) and send it by fax or letter to the Executive Officer.

Cardholder's Name
E-mail
Type of Card	Visa Mastercard Amex
Card Number
Expiry Date:	/ (mm/yyyy)
Verification Code	Visa and Masters cards (3-digit value) To be found in the signature field on the back side of the card, following the printed replica of the credit card number embossed on the front of the plastic. American Express cards (4-digit value) To be found half way down the right-hand side of the front of the card.

2004 © EAESP

Last update: May 2,, 2006