William Morris Society in the United Kingdom Memebership Form For United Kingdom residents and countries other than the US and Canada The current subscription rates are: Payment by cheque Payment by Bank GIRO Individual  £18.00  £17.00  Student/concession*  £8.00  £7.00  Family/household £22.00  £21.00  Corporate  £30.00  £29.00  Life (under 60) £450.00  Life (over 60) £350.00  *The concessionary student rate is available only for residents of the UK. Membership Secretary William Morris Society Kelmscott House 26 Upper Mall Hammrsmith London W6 9TA UK ___ Individual ___ Family ___ Life ___ Student ___ Corporate membership NAME _______________________________________________________ ADDRESS ____________________________________________________ ADDRESS 2 __________________________________________________ TOWN _______________________________________________________ COUNTY ____________________________ POST CODE _____________ COUNTRY ____________________________________________________ TELEPHONE __________________________________________________ E-MAIL _______________________________________________________ Cheque enclosed in the amount of:_______________________________ Please use my bank GIRO Information: ___________________________