Application for membership          ID No………………………………… [office use only]
[Please use ink and print in capitals]

Name ……………………………………………………
Given names……………………………………………
Title……………………………………………………
Address…………………………………………………
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Post/zip code……………………………………………
Telephone number……………………………………
Mobile…………………………………………………
Email address…………………………………………

Research details [which CARBIS is being researched/looked at]
…………………………………………………………………………………………
…………………………………………………………………………………………
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For office use only
Subscription [annually from January 1st each and every year until further notice]
£ 8.00 (GB Pounds) or overseas equivalent

Paid………………………… Date……………………………………………….

Date of joining………………………………………………………………………

Date…………………………… main office notified and identifying number allocated

Letter of ‘Welcome’ posted……….. Yes/No, with ID number……….Done

Please be advised that the above information will be retained/stored on a computer based storage program and will not knowingly be transmitted to any third party.