Corporate Club Application Form
SIMPLY PRINT THIS SLIP AND EITHER FAX OR POST IT BACK TO US
| FAX: | +44 (0) 1400 273402 |
OR | |
| POST: | Quicksilver (WSR) Ltd., Quicksilver House, Building 47, Beverley Road, Nottingham East Midlands Airport, DE74 2SA, ENGLAND. |
PLEASE MAIL MY CORPORATE CLUB QUICKSILVER MATERIALS TO:
Name | ||
| Address | ||
| Post\Zip Code |
Wording required on craft and material:
...............................................................................................................
One-off enrolement fee of: £395
[] I enclose a Cheque/PO payable to Quicksilver (WSR) Ltd
[] I will pay by credit card. We accept: Visa, Mastercard, Switch
[] I/we require an invoice/receipt
Card Number................................................................... | |
Expires end............. | |
Switch issue no........ |
This information will be treated in the strictest confidence and no personal details will be passed on to 3rd parties.
Sorry, cash payments cannot be accepted.
Signature ……………………………........................