SUBSCRIBER APPLICATION FORM

Please print in capital letters

Individual Subscriber

Title _________ Initials __________ Surname ______________________________

Institution/Society Subscriber

Name _______________________________________________________________

Address _____________________________________________________________

____________________________________________________________________

____________________________________________________________________

Postcode _______________ Email address _________________________________

I wish to subscribe to the British Record Society and enclose a cheque for/
have arranged to make payment by standing order/ direct credit/ other (please specify) of
__________ (please delete as appropriate).

(individual subscription £28.00 or US$60.00, institutional subscription £46.00 or US$100.00)

Signature _________________________________ Date ______________________

Please make your cheque payable to, or arrange for payment to the account of,
“British Record Society Ltd”
at Barclays Bank (sort code: 20-41-41, account no.: 60195219)
(for overseas subscribers: IBAN: GB73 BARC 2041 4160 1952 19, BIC: BARCGB22)
and send your completed form (and remittance) to the Hon. Treasurer:

James Henderson
Rosemount
Riggs Place
Cupar
KY15 5JA
United Kingdom

email- james.henderson.1994@balliol.org

It would be helpful for us to know where you heard of us (please mark with cross):

Internet search ________________________________________

Printed Books _________________________________________

Publicity material ______________________________________

Personal recommendation _______________________________

Other (please specify) ___________________________________