Membership Application - Bibliographical Society

Title *

First Name *

Last Name *

Email Address

Phone Number

Address Line 1 *

Address Line 2

Address Line 3

Town/City *

County/State/Province *

Post Code / Zip *

Country *

Do you want your email address included in the List of Members *

Yes

No

If you are paying with PayPal, please enter the email address you use in PayPal

Description of your bibliographical interests *

Agreement *

I am aware that my annual membership is valid from 1 January – 31 December and I will receive renewal information in December via email. If I do not renew and pay membership, I will no longer have access to ‘The Library’ etc…

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