Get Credit/debit Card Payment Form - Psni.org.uk

This guide provides clear instructions on how to accurately complete the Credit/Debit Card Payment Form for Pharmaceutical Society NI. By following these steps, you can ensure that your payment process is smooth and hassle-free.

Follow the steps to fill out the form successfully.

1. Click the ‘Get Form’ button to download the form and open it for editing.
2. Enter the name of the registrant as it appears on your application form in the designated field.
3. Provide the registration number in the corresponding section.
4. Fill in the name of the cardholder exactly as it appears on the credit or debit card.
5. Enter the cardholder's address and postcode in the appropriate fields.
6. Select the type of card by ticking the appropriate box for either credit or debit card.
7. Input the 16-digit card number correctly without any spaces or hyphens.
8. Specify the 'Valid From' date, including the month (M) and year (Y) as required.
9. If using a Maestro card, include the issue number in the respective field.
10. Input the 'Expiry Date' of the card, again including month (M) and year (Y).
11. Type the security code, which is the last 3 digits found on the reverse side of the card.
12. The cardholder must provide their signature in the designated space.
13. Date the form by entering the current date in the specified field.
14. After completing the form, ensure you save any changes made to the document. You can then choose to download, print, or share it as needed.

Complete your form online and ensure your payment is processed without delay.