PAYMENT Payment can be made in GBP/£ by credit/debit card or by BACS. Please note we do not accept cheques. Please indicate your payment method: I will pay via BACS (bank transfer) Sort Code: 20-98-73 Account No: 00904244 Payment Reference: Please quote “Dartford” I wish to pay by credit/debit card Card type: VISA MASTERCARD We do not accept American Express Card number: Start Date: Expiry Date: Issue Number (if applicable): Name on Card: Address the card is registered at: 3 digit CVC (security code at the back of the card): Your payment details will be destroyed once your request and its payment have been processed
PAYMENT Payment can be made in GBP/£ by credit/debit card or by BACS. Please note we do not accept cheques. Please indicate your payment method: I will pay via BACS (bank transfer) Sort Code: 20-98-73 Account No: 00904244 Payment Reference: Please quote “Dartford” I wish to pay by credit/debit card Card type: VISA MASTERCARD We do not accept American Express Card number: Start Date: Expiry Date: Issue Number (if applicable): Name on Card: Address the card is registered at: 3 digit CVC (security code at the back of the card): Your payment details will be destroyed once your request and its payment have been processed
Absentia_app_form-v2.docx