xi 
FORM  B. 
Str, 19 
I have the pleasure to inform you, with reference to 
your application dated the , that you have 
duly been elected a of the Vicroria Instrrure, o8 
PHILOSOPHICAL Sociery oF Great Britain. 
I have the honour to be, Sir, 
Your faithful Servant, 
FORM C. 
(Bankers) Messrs. 
* Please pay Messrs. Barciay & Co., 1, Pall Mall East, S.W., 
my Annual Contribution of Two Guineas to the VICTORIA 
INSTITUTE, due on the Ist of January, 19 , and the same 
amount on that day in every succeeding year, until further notice. 
I am, 
Your obedient Servant, 
19 
Tf this Form be used, please add your Signature, Banker’s Name, and the 
Date, and return it to the Office, 1, Adelphi Terrace House, W.C. Receipt- 
stamp required. 
* The above is the form for Members. The form for Associates is the same 
except that the Subscription stands as ‘‘Onr GUINEA.” 
