THE BRITISH ENTOMOLOGICAL & NATURAL HISTORY SOCIETY

(Registered Charity No. 213149)

MEMBERSHIP APPLICATION FORM  (rates from 1 January 2006)


Name * (Block capitals) ....................................................


Title: Mr/Mrs/Ms/Miss/Other ............Qualifications......................


Address (block capitals) .....................................

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

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

Post Code ................

I am interested in the study of .........................................
and wish to become an Ordinary / Corporate / Junior / Life ** Member of the British Entomological and Natural History Society. If elected, I will pay my subscription when due and, as long as I am a member, I agree to conform to all the Rules and Orders made for the government of the society.


If under 18 years of age, please state date of birth ....................

I am in full-time education and wish to apply to subscribe at the Junior rate, my course ends

in .....................(month) ......................(year)


Signed ...................................	Date ...................

*  Applicant's full name or name of organisation if a corporate member
**  delete as appropriate

Subscription rates: Ordinary and Corporate Members £19.00, Junior Members (under 18 years) £6.00.  Life members £380.00. Entrance Fee: £ 1.00. Applicants over 18 years and in full time education may apply to have their subscription reduced to the Junior Members rate.

All application forms must be accompanied by payment for the entrance fee and the first year's subscription, which will be returned if the applicant is not elected.

Please note that all applications for membership are considered by the Society's Council. The Council meets on seven occasions during the year and therefore there may be a delay before your membership can be confirmed. If you are elected after the 1 October in any year your membership will be valid until the end of the following year, but you will not receive any parts of the Journal published in the portion of the year before your election. Members elected before 1 October will receive all parts of the Journal for that year.

Please return this form to: The Membership Secretary, C/O 22 Wordsworth Close, Saxmundham, Suffolk  IP17 1WF