| This application form is for you to print out - but please do not send payment with this form |
| Subscription rates (GB pounds sterling, as of 1st October 2006) | ||||||
| UK Individual Member - with Transactions | £49 | Overseas Individual Member - with Transactions | £55 | |||
| UK Student Member, under 23 | £9 | Overseas Student Member under 23 | £11 | |||
I would like to become a member of the Newcomen Society
Signed: | Date: |
PERSONAL DETAILS
| Title: | Forename(s): |
Surname: |
|
| Date of birth: | |
| Academic or professional qualifications: (No formal qualifications are required for membership) |
|
| Business or profession: | |
| Address: | |
| Postcode: | Home tel: |
| Work tel: | Mobile: |
| Fax: | Email: |
| How did you hear about the Society?: | |
MAIN AREAS OF INTEREST (please tick those that apply)
| Railways / canals / transport |  | Civil / structural engineering | | |||
| Naval / marine | | Electrical / electronic engineering | |
|||
| Computing | | Mining / metallurgy | |
|||
| Mills and millwork | | Other (please give details below) | |
|||
| INDIVIDUALS:
Please complete this form and send to: The Executive Secretary, The Newcomen Society, The Science Museum, London SW7 2DD. (Tel/Fax: 020 7371 4445) |
LIBRARIES AND INSTITUTIONS:
Please contact: Maney Publications Suite 1C, Joseph's Well, Hanover Walk, Leeds LS3 1AB, UK Tel: +44 (0)113 243 2800. Fax: +44 (0)113 386 8178 | |||||
Please do not send payment with this application form - a request for payment is sent out when an application for membership has been accepted by the Society's Council.