Please fill up this Form and forward it to the Honorary Secretary. 



^mt ^eut patitral Pirfarg <^0ctetjj. 



FORM OF APPLICATION FOR MEMBERSHIP, 



/, t//e umler signed am desirous of becoming a member of 

 the East Kent Natural History Society, and have herewith 

 remitted the sum of shillings, as my annual 



subscription. 



(Signed) 



(Address) _ ; „ _ _ 



Date 



Note.— The Subscriplions are due in advance on January i, in each year, and 

 amount to 



Gentlemen ios. 

 Ladies Ss. 



