ISBGFH Membership Form

Application for ISBGFH Annual Membership

(1 January to 31 December)

Last Name

First Name Initial Address City State Zip Home Phone Work Phone Fax Email

Single

Single North America $20.00  
Single Overseas
$25.00  

Family (same address)


Family North America
$25.00  
Family Overseas
$30.00  

Lifetime Membership

Single $300.00   Family $375.00  

Total

 


Total Enclosed
 

RETURN THIS FORM WITH YOUR CHECK OR MONEY ORDER TO:

The British Institute

ISBGFH

P.O. Box 3115

 Salt Lake City, UT, 84100-3115

Please make check/cheque payable to ISBGFH.

For non-US currency, please use a US Postal Order or a check
with funds drawn on a US bank.