Christians in Science

ORDER FOR REPRINTS from Science and Christian Belief, with payment by sterling cheque or credit/debit card

Please complete ALL of the following information in order for Christians in Science to collect a payment by sterling cheque or credit/debit card. The transaction will be processed as soon as possible. Reprints of article, essay reviews and debate sections cost 10 each (including P&P). Other items (book review; correspondence; editorial) cost 5 each (including P&P).

Please send this information to John Bausor, CiS Publications Secretary ,5 Longcrofte Road, Edgware, Middlesex HA8 6RR, UK, by one of the following methods:

  1. by mailing the completed form, along with a STERLING cheque for the appropriate amount, to the address below (cheques in any other currency are NOT acceptable);
  2. by sending the completed form, with credit card details, as an email attachment to jandkbausor@clara.net;
  3. by sending all the information, with credit card details, in an email to jandkbausor@clara.net;
  4. by sending all the information, with credit card details, in separate emails to increase security;
  5. by printing the form, completing it including credit card details, and mailing it to the address below.

Details of reprints required:

SCB Vol & No Title of article or other item Author (if appropriate) Cost
___________ ____________________________________ ________________________ _______
___________ ____________________________________ ________________________ _______
___________ ____________________________________ ________________________ _______
Sterling cheque enclosed or card (please tick).
Total payment amount: _______
Type of card (only those listed are acceptable): VISA / MASTERCARD / DELTA / SWITCH
Name (as it appears on the card): __________________________________________________________
Address to which card statements are sent: _________________________________________________
________________________________________________________________________________
Card Number: |__________|__________|__________|__________|
Three digit security number: |______|
Start date: (MM YY) |____|____| Expiry date (MM YY): |____|____| Switch issue: |____|
I authorise CiS to debit the above sum from this account.
Signature: ________________________________________________ Date:__________
Address for delivery (if different from above)
_________________________________________________________
________________________________________________________________________________