(Please make cheques payable to DIRT BIKE RIDER in GB pounds)
Card number: □□□□!□□□□!□□□□!□□□□ Valid from: □□□□ Expiry date: □□□□ Security number: (last three digits on the strip at the back of the card)
PLEASE NOTE: IF THE REGISTERED ADDRESS OF THE CARD HOLDER IS DIFFERENT TO THE DELIVERY ADDRESS PLEASE ADVISE JOHNSTON PUBLISHING.
DIRECT DEBIT (only available at £2.50 per month)
Instruction to your Bank or Building Society to pay Direct Debits
Please fill In this section and send to the address at the top of the form
Name and full postal address ot your Bank or Building Society
To the Manager (Bank name)
® DIRECT Debit
Originator's Identification Number
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