X1 
FORM B. 
Sir, ihe es 
I have the pleasure to inform you, with reference to 
your application dated the , that you have 
duly been elected a of the Victoria INSTITUTE, OR 
PuILosopHicaL Soctery or Grear Brera. 
I have the honour to be, Sir, 
Your faithful Servant, 
1 2 Hon. Sec. 
FORM  C. 
(Bankers) Messrs. it .« So es ne ee 
* Please pay Messrs. Ransom, Bouvertr, & Co. my Annual 
Contribution of Two Guineas to the VICTORIA INSTITUTE, 
due on the Ist of January, 189 , and the same amount on that 
day in every succeeding year, until further notice. 
I am, 
Your obedient Servant, 
B 189 
If this Form be used, please add your Signature, Banker’s Name, and the 
Date, and return it to the Office, Adelphi Terrace. Receipt-stump required. 
* The above is the form for Members. The form for Associates is the same 
except that the Subscription stands as ‘““ONE GUINEA.” 
FORM. D. 
Sir, Leta sh 
I am directed by the Council of the Vicror1a Instirure 
to remind you that the Annual Contribution due by you to the 
Society for the year is now six months in arrear; 
and I have to call attention to the Bye-Laws of the Institute, 
§ III, §{ 4 and 8, and to request you to remit to me the amount 
due (viz., £ ) by Post-office order or otherwise, at your earliest 
convenience. 
I have the honour to be, Sir, 
Your faithful Servant, 
heel a a Treasurer. 
