Print out this page and send it to our membership secretary

Application for membership of  The British Paphiopedilum Society

Name        ..............................................................................

Address     ..............................................................................

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

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

Town          ..............................................................................

Postcode    ....................................

Country      ..............................................................................

Tel. No.     ....................................   (optional)

for members infomation only (if wished)

E-mail        ...............................................................................  (optional)

for members infomation only (if wished)

NOTE One metal lapel badge will be issued free.

If you require name badges(£4 each) please state how you wish to be addressed. (Most members have first name and surname)

Your name badge      ..............................................................................

Partner's name badge      ........................................................................

Current Subscription rates -

1 Year = £12,          3 Years = £30

Outside Europe, 1 Year = £15,          3 Years = £40

The subscription rate runs from 1 July to 30 June

Remittance enclosed (subscription plus the cost of any name badges required).

                                                                                                           Total  £ ..............

Please make cheques payable to the British Paphiopedilum Society (drawn in UK Sterling)

Sorry no credit cards.  Send the completed form and remittance to -

The Membership Secretary

British Paphiopedilum Society

c/o 17 Surbiton Road

Stockton-on-Tees

Teesside

TS18 5PZ               England