BRITISH CACTUS AND SUCCULENT SOCIETY

THIS FORM IS FOR PAYMENT OF A DEPOSIT FOR THE BCSS 2018 CONVENTION

* = Required fields

Your personal details:

* First Name: * Last Name:
Title:
* Address1:
Address2:
* City: County/State:
Post Code: * Country:
Phone: Fax:
* Email:

I wish to book the following packages:

Full Package £260
Non-Residential Package £160 for delegates living locally
Free Sales Table
Tick here if you need a ground floor room
Special Dietary Requirement

Deposit of £50

PAYMENT DETAILS
  * Credit Card Type : MasterCard Visa Maestro We accept Visa/MasterCard
  * Credit Card Number : * - * - * -
  Start Date : (MM/YY)
  * Expiry Date : (MM/YY)
  * Security Number :
  For Maestro Issue Number :

Postal address: David Kirkbright, 71 lakes lane, Newport Pagnell, MK16 8HT

Fax number : (+44) 1444 454061

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