Publication charges form | Food Science book series

1. PERSONAL DETAILS
Full name of the corresponding author
Email of the corresponding author
Full Mailing
Address
This address will be used to post the copy of the volume where the chapter is published
Billing Information
(if necessary)
Invoices will be posted together with the copy of the volume unless they are required before
2. CHAPTER TITLE
3. PAYMENT Please, select the appropriate option
Option 1: Credit Card (Accepted cards are VISA and MASTERCARD)
I authorize FORMATEX RESEARCH CENTRE (NIF - TAX ID No.: B06521629) to charge my Credit Card to the value of 250 EURO
Number :
Expiration date:
Month
Year
CVV2
CVV2 is a security measure we require for all transactions. To find your CVV2 number, please turn your card over and look in the signature strip. You will find (either the entire 16-digit string of your card number, or just the last 4 digits), followed by a space, followed by a 3-digit number. That 3-digit number is your CVV2 number:
Cardholder’s name: Cardholder’s signature:
Date: ___ /___ /_____
Option2 : Bank Transfer
The publication charge (EURO 250) must be transferred to the account of Formatex in “Banco Santander S. A.”:
Account Number: 0049 0013 11 2911465172
I.B.A.N.: ES85 0049 0013 11 2911465172
Swift Code: BSCHESMM
Holder: Formatex Research Center S. L.
Bank: Banco Santander S. A.
Branch: PLAZA DE ESPAÑA 6 A, 06002 BADAJOZ, SPAIN
Important:
Ø  In the Concept/Reference please indicate “Food Science” and the full name written in the “Personal details” section of this form (this is very important when transfers are made by institutions; if that name is not included in the concept/reference we will be unable to associate the payment with the corresponding author).
Ø  Bank charges are the responsibility of the author and must be paid in addition to the publication charge.
Ø  A photocopy of the bank transfer/purchase order must be sent together with this form.
SUBMISSION
It is necessary to send this form within 3 weeks after receiving the chapter publication notification by one of these three ways:
1.  By fax to the number: +34 924 263 053
2.  By email to:
3.  By post to the address:
Formatex Research Center
Zurbaran 1, 2ª, Office 1
06002 Badajoz, Spain

Formatex Research Center, Zurbarán 1, 2ª, Office 1 06002 Badajoz, Spain
e-mail: // Phone: +34 924258615 // Fax: +34 924263053 NIF (TAX ID No.): B06521629