OXFORD UNION LIBRARY by u4pg9WmF

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									                           OXFORD UNION LIBRARY

                       Application to adopt a book

1.       YOUR DETAILS

Name:

Address:




Phone:

Email:


 Name and any message to appear on the adoption certificate:




2.       BOOK(S) TO BE ADOPTED

Reference Title                                                      Price




                                                         TOTAL:


3.       PAYMENTS

Please indicate preferred method of payment (see overleaf for details):

     Online                      Debit/credit card                   Cheque




                                          1
a)      Online payments
If you indicate overleaf that you wish to pay online, payment details will be
forwarded to you.


b)    Credit/debit card payments
** Address (i.e. address at which credit/debit card is registered) **

        ______________________________________________________________

        ______________________________________ Postcode: _______________

Card no.



Start date:                    Expiry date:                             Issue no.:




3-digit security code (see back of card):



Please return the completed form (both pages) to:
Oxford Union Library, Frewin Court, OXFORD OX13JB.
Phone: 01865-246782; Fax: 01865-250092
Email: librarian-in-charge@oxford-union.org


c)     Cheque payments
Send page 1 of this form completed together with a cheque for the full amount made
payable to “Oxford Union Society” to the address above.




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