Methods Of Payment

Roger Clark Motorsport accepts all types of major credit cards.

Payment

Please fill in all required information clearly, in pen on the lines provided using capital letters. Please make sure that if you contact us by telephone, you have the following information ready.

If you wish to pay by credit / debit or visa / mastercard or American Express, then please complete the following (if it appears on your card):

Name of credit/debit card holder: __________________________________________________________

Address that appears on the credit card holder's statement (billing address):

House No. or Name: ____________________________________________

Road/Street Name: ____________________________________________

Town/City: ____________________________________________________

County/State: _________________________________________________

Country: ______________________________________________________

Postal Code/Zip Code: __________________________

Full credit card number:__________________________________

'Valid from' date: ____ / ____ eg: 08 / 04

'Valid to' (expiry) date: ____ / ____ eg: 02 / 02

Security code: ____ ____ ____ ie: (last 3 digits located on the signature strip on the back of your card):

If you are paying by switch card, then your card may have an Issue number, if so then please enter it here: ________

Please make sure that you provide a telephone contact number, so that if problems are experienced in processing your credit card payment, we are able to contact you and minimise any delay in despatching your order.

Telephone number: (including country code and area code)

Country Code: ________ eg: +44

Local Area Code: ___________ eg: 01455

Your Telephone Number: _____________________ eg: 828610

Your Order

Print out and fill in for fax orders. Our FAX number is: +44 (0) 1455 828620.

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