SWISS RAILWAYS SOCIETY

Credit Card Authority

To:- The.German Railway Society as Agent for The Swiss Railways Society

Please debit my Access/Visa/Mastercard * credit card account with the sum of

£ ……. in respect of my subscription/ purchase of goods*. I understand that this

charge will carry a surcharge of 5% with a minimum of £1 ( to be added by the

G.R.S).

Credit card number ………………………………..

Security number ( last 3 digits on signature strip on reverse of card) ……

Account name (please print) ……………………………. Expiry date ……….

Signature ………………………………………………. Date ………………

* Delete as required. Originator (SRS Use only)………..