I am living outside the UK and wish to apply for a DIRECT SUBSCRIPTION to the BRITISH JOURNAL OF MUSIC THERAPY  and enclose remittance of £50.00 subscription for the current year.

( Payment can also be made by credit card - see below)

Signature:  ................................................................................................

Date: ........................................................................................................

NAME:  Mr/Mrs/Ms/Miss   ..........................................................................

ADDRESS:  ..............................................................................................

.................................................................................................................

............................................................................ ...................................

TELEPHONE & EMAIL:  .............................................................................

 PROFESSION:  ........................................................................................

Please note the financial year commences on the 1st January of each year.  Subscribers will receive two issues of the BRITISH JOURNAL OF MUSIC THERAPY each year.  They are usually published in May and November.

Receipt sent only on request.  Cheques should be made payable to BSMT.  Card payments can be made but an additional £2 must be added for Card Charges..

Please indicate which card:  Mastercard, Visa, Eurocard, Delta, Switch

Card No.   ... ... ... ...   ... ... ... ...   ... ... ... ...   ... ... ... ...

Name on Card:  ...........................................................................................

Date of Expiry:  ...........................................................................................

If Card is registered at a different address from above, please give Card address:

.....................................................................................................................

Card Security No.  ......................................................................................

We require the last three digits of the number on the reverse of the card on the signature strip.  This is required under the new anti-fraud regulations.

Please complete and send this application to:  BJMT Direct Subscriptions, 24-27 White Lion Street, London, N1 9PD, UK.  or Email to Denize@bsmt.demon.co.uk