WYCOMBE WANDERERS SUPPORTERS SOCIETY LIMITED
DEBIT OR CREDIT CARD PAYMENT
Wycombe Wanderers Supporters Trust is able to accept payment by debit or credit card for two and three year memberships.
We can also accept payment for the first year of an annual membership provided that the standing order form is completed for subsequent years. If you complete both forms then we will ensure that you only pay as appropriate.
We are unable to accept debit or credit cards for monthly payments as the processing costs are too high.

Since we are charged a service fee by the debit and credit card companies, we ask that you pay an optional supplement of £2.00 for the annual membership, £4 for the 2 year membership and £5 for the 3 year membership. Please indicate your willingness or otherwise to accept this supplement below (remember the supplement helps the Supporters Trust reach its goals).

If you wish to pay by debit or credit card, please complete the form below.

3 year £150 or 2 year £110 or annual £60 membership: …………………………………………................................
Note: For annual membership you will need to complete a standing order in addition to this debit or credit payment form.
Please complete the standing order with your bank details together with your name, address and signature.
The Supporters Trust will adjust the wording to ensure that you do not pay the second £60 until 1st October of the next season.

I wish to pay the optional supplement for use of debit/credit cards 3 year £5; 2 year £4; annual £2 (Yes/No): ………….
This maximizes the payment to the Supporters Trust by paying for the cost of processing the debit or credit card.

Card Type: Visa/Delta/Electron/MasterCard/Eurocard/AmericanExpress/Solo/Switch/Maestro: …..............................

Debit or Credit Card Number: …………………………………………………………….......................................…

Expiry Date (Month/Year): ….………..............……..... Start Date (Month/Year): .…...........................................

Credit Card Verification Number (last three digits on the back of the card): ...........................................................

Solo/Switch/Maestro Issue Number: .……………………………………..............................................................

Cardholder's name as it appears on the card: ……………………………...............................................................

Billing Address 1: ………………………………………………………...............................................................

Billing Address 2: ………………………………………………………...............................................................

Town/City: ………………………………………………………........................................................................

County: …………………………………………….............. Post Code: ………………………………...............

Your email address: .....................................................................………………………....................................
You can be notified by email when the payemnt is processed. Default payments@wwst.org.

Your telephone number in case there is a problem with the payment: ………………………..............................
Default 01727 850727

Please complete and return to:
Wycombe Wanderers Supporters Trust, c/o 1 Allen Drive, Walters Ash, High Wycombe, Bucks HP14 4SS
Questions about membership or this credit/debit card payment form should be directed to:
Keith Blagbrough at the above address or telephone 01494 563697 or email secretary@wwst.org
Alternatively more details can be found on the website http://www.wwst.org