NEW MEMBERS JOIN TODAY     APPLICATION FOR MEMBERSHIP    Any questions email the Membership Secretary

By what name (femme or any other) do you wish to be known within the Beaumont Society?  ________________________

Are you 18 years old or above? YES / NO     

The following information is for mailing and security purposes and is MANDATORY. Please use BLOCK CAPITALS and enter exactly the form in which your mail is to be addressed.

Type of membership ?                       POSTAL member  /  INTERNET ONLY member  /  COMBINED member

Postal correspondence  'PRIVATE & CONFIDENTIAL'? YES/NO                 

Name_______________________________________________________ 

House name/number_____________________                  Road_______________________________________________

District_______________________________                   Town_______________________________________________

County_______________________________                   Post Code______________      Country_____________________

Email address …………………………………………… 

DECLARATION

I wish to become a member of the Beaumont Society and enclose the fee of £ _______.00 (or have paid electronically)

FEES.  Internet only … £ 33.00 UK residents------------£ 33.00 EU Residents - - - - - - £ 38.50 Non EU residents------£ 44.00

I understand that if my application is not accepted , my fee will be returned.  If my application is accepted, I agree to abide by the rules and accept the constitution of the Beaumont Society.

I agree to hold in strict confidence any information about members of the Beaumont Society.  I understand that the Beaumont Society accepts my membership on the understanding that any guidance or information which has been or will be given or received by Members of the Beaumont Society constitutes only a personal opinion and does not necessarily reflect the view of and is not binding upon the Beaumont Society.

Signed (Real Name)__________________________Date___________________

The following information is optional. We would be grateful for your answers which help us to be aware of the profile of our membership.

Occupation _______________________Age ______ Marital Status________________

How did you hear of the Beaumont Society?

Have you any skills which you feel able to contribute to the Society?

We look forward to processing your membership application.

Please send your application form together with your membership fee to :

The Beaumont Society, 27 Old Gloucester Street, LONDON, WC1N 3XX, UK

Electronic payment can be made though our on-line shop. Cheques, bankers drafts and postal orders should be made payable to BEAUMONT SOCIETY; cash is not acceptable. Overseas applications should be made payable in sterling drawn on a UK bank to avoid losses on conversion.

This application will be seen by the Regional Organiser, the Executive Secretary and the Membership Secretary only. Permanent records are held by the Membership Secretary only. We shall be pleased to answer any queries you may have, please write to the Executive Secretary at the London address.

OFFICIAL USE ONLY  Fee received £_______________ BS Number _________________________