IELTS PAYMENT BY DEBIT/CREDIT CARD - Guildford PAYMENT BY DEBIT/CREDIT CARD ... IELTS Exam : 2015 - 15 0 ☐ IELTS Exam 2016 - 155 ☐ ... IELTS Weekend Preparation Course:

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<ul><li><p>IELTS PAYMENT BY DEBIT/CREDIT CARD </p><p> "I understand that my test fees are only refundable or transferable up to 5 weeks before my test date (minus an administration fee of 30). Less than 5 weeks before my test I am liable to lose my full test fee unless I can provide adequate medical proof to support my application to cancel or postpone." "I understand that my course fees are not transferable or refundable if my application is accepted. I note that IELTS courses are not eligible for a student visa." Signature: Date: </p><p>NAME OF APPLICANT/ CANDIDATE: </p><p>CARD NUMBER: </p><p>EXPIRY DATE: </p><p>START DATE if on card: </p><p>CARD TYPE, e.g. Visa, Visa debit, MasterCard (NB: NO Amex taken) </p><p>AMOUNT PAYING: Please tick </p><p>IELTS Official Practice Materials 2 (with DVD): 15 </p><p>IELTS Evening Preparation Course: 2015 - 169 </p><p> 2016 - 175 </p><p>IELTS Exam: 2015 - 150 IELTS Exam 2016 - 155 </p><p>IELTS One Day Workshop: 2015 - 69 2016 - 78 </p><p>IELTS Weekend Preparation Course: 435 </p><p>SECURITY NUMBER: FINAL 3 DIGITS ON BACK OF CARD </p><p>ISSUE NUMBER: SWITCH &amp; SOLO If no issue number, start date </p><p>CARDHOLDER NAME IF DIFFERENT TO APPLICANT: </p><p>CARDHOLDER ADDRESS IF DIFFERENT TO APPLICANT: </p><p>CARDHOLDER TEL: </p><p>DATE DETAILS TAKEN: (For office use) </p><p>TAKEN BY (NAME): (For office use) </p></li></ul>