CARD PAYMENT FORM The Salvation Army Territorial Events Unit 020 7367 4860
Event: Date: Venue:
Encounter Prayer Gathering 25 – 27 January 2019 The Hayes Conference Centre, Swanwick
COSTC:1011
Event Code:19T9954
Account Code:41010
CARD PAYEE DETAILS NAME as shown on card: ADDRESS: POSTCODE: EMAIL: CORPS:
TELEPHONE: DIVISION:
PAYMENT BEING MADE – Please attach an application form for each person BOOKING TYPE COST HOW MANY Early Bird Discount Price (up to 1st September) £155 st Full price (applies from 2 September) £170 Non-refundable deposit (full balance due 30/11/18) £35 Balance amount £ Total
TOTAL £ £ £ £ £
Data Protection Statement
The Salvation Army* Prayer Network Unit and Territorial Events Unit will hold your personal information in our legitimate interests in arranging your attendance at this event. We will not share this information with anyone and will keep for 12 months after the event. You have the right to a copy of information we hold about you, and in some circumstances to have it amended or deleted and to withdraw consent. For this and to raise any queries on how your information is handled, please contact the Head Privacy Officer at data.protection@salvationarmy.org.uk. If you are still not happy you may raise concerns with the Information Commissioner's Office. *The Salvation Army Trustee Company acting on behalf of Central Trust DETAILS BELOW MUST BE DESTROYED ONCE PROCESSED
CARD DETAILS Card Type: Access/Master Card/Maestro/Visa/ Debit Card/ SA Purchase Card (NOT American Express or CAFCC)
Card Number: ________________________________________________________ Start Date: _________
Expiry Date: _________
Issue No: (Maestro Only) _________
Security Number: (last three digits from back of card on signature strip) _____________