Payment Details for the Annual Overseas Trainee
Registration Fee: January – December 2016
 Please find enclosed my cheque for the sum of £97 made payable to the Royal College of
Psychiatrists
OR
 Please debit my Visa/MasterCard/Maestro/Switch Card the sum of £97
If paying by Credit / Debit Card please write the card details below and return the form by post or call
the number below to make payment.
Name as it appears on the Card
Please debit my
Visa / MasterCard / Maestro (Switch)
the sum of
£
Card Number
Start date
Expiry date
Issue Number (if applicable)
Security Code (last 3 numbers on signature strip):
If you have any questions, please do not hesitate to contact us.
Membership Office, Royal College of Psychiatrists, 21 Prescot Street, London, E1 8BB, UK
Tel: +44 (0)20 3701 2591/2580 Fax: +44 (0)203 701 2761
Email: membership@rcpsych.ac.uk
www.rcpsych.ac.uk
(Last revised December 2014)