I 



IMeasc fill up this form and forward it to the Honorary Secretary. 



€ast ^mi pahtrai Pi.^t0ri) ^0aetg. 



FORM OF APPLICATION FOR MEMBERSHIP. 



/, f/ie undersigned, being desirous of becoming a member of 

 the East Kent Natural History Society, request that my name 

 may be brought before the Committee at their neoct meeting in 

 accordance with rule 2 of the Society. 



(Signed) _ _ 



(Address) _ _ 



Date 



NoTK.— The Subscriptions are clue in advance on January I, in each year, and 

 may be paid either to Messrs Hammond and Go's. Bank, Canterbury, ov 

 to the Hon. Treasurer. 



