Application for Membership of The British Pteridological Society

Please copy/print this form and complete in BLOCK CAPITALS and send to the Membership Secretary: Mike G. Taylor, Westlea, Kyleakin, Isle of Skye IV41 8PH; tel: 01599 534391. E-mail: Membership@eBPS.org.uk

*I/We wish to join the British Pteridological Society as a Full/Optional/Student/Family member/Subscriber
and enclose £..................... in payment of my subscription for 1st January - 31st December ** 20............ 
Surname .......................................................................... First name & Initials .......................................
Title (Dr/Miss/Mr/Mrs etc.)  ................
Family Member: Title ............. First name & Initials ........................... Surname ....................................
Address...................................................................................................................................................
County/State ..................................................................................................
Postcode.................................................................................................
Country ...............................................................................................................
Tel. No. (home/work)..............................................................................................................................

Signature ....................................................................................................  Date .................................
How did you hear about our Society? .....................................................................................................
* Delete where not applicable             ** Members joining at any time during the year will receive all the journals for that year

MEMBERSHIP RATES

Full Personal Members	£20.00	[  ]
Optional Members not receiving the Fern Gazette	£16.00	[  ]
Student Members	£10.00	[  ]
Family Members (spouse/partner)	£2.00 extra	[  ]
Subscribers (universities, libraries & other institutes including agents acting on their behalf, & trade agents)	£33.00	[  ]
Airmail postage for all journals	£4.00 extra	[  ]
Airmail postage for those not receiving the Fern Gazette	£2.50 extra	[  ]
Overseas remittances not in Sterling	£5.00 extra (£2.00 for Euros)	[  ]
Credit card payment	£2.00 extra	[  ]
Donation	£
TOTAL AMOUNT ENCLOSED	£

(If paying in currency other than Sterling, please remember to pay £5 (or £2 for Euros) extra and state sterling equivalent and rate of exchange.)

CREDIT CARD PAYMENT

I authorise the British Pteridological Society to debit my  Visa / Mastercard account by £ ...........
(Please remember to pay £2 extra to cover costs)
Card number ..... ..... ..... .....  -  ..... ..... ..... .....  -  ..... ..... ..... .....  -  ..... ..... ..... .....
Expiry date ................... / ...................       Name as given on card .............................................

Signature of cardholder ..............................................................  Date .......................................