CREDIT/DEBIT CARD AUTHORISATION FORM: IELTS PRACTICE MATERIALS
IELTS Administrator, Centre of English Studies, 31 Dame Street, Dublin 2, Ireland
Please debit my card for the following:
□ Official IELTS Practice Materials: Number of booklets: _____ at €20 per booklet
□ Top Tips for IELTS - Academic: Number of booklets: _____ at €18 per booklet
□ Top Tips for IELTS – General Training: Number of booklets: _____ at €18 per booklet
□ Postage fee*: _____ at €2 per package
* If you wish to collect your materials, it is not necessary to pay the postage fee. Materials can only be posted within Ireland. For international orders, please contact your local IELTS test centre. Postage fee covers a maximum of two booklets in total. Please contact us if you wish to purchase more than two booklets: Email: ; Tel: 01-679 9506.
Card Number:Valid From: / M / M / / / Y / Y / Expiry Date: / M / M / / / Y / Y
Total: / €
Card Security Code: / This is the last three digits of the number on the back of the card.
Name as it appears on the card:
______
Cardholder address: ______
______
Delivery address (if different):
______
______
Cardholder’s signature: ______Date: ______