Xlll 



FORM D. 



Sir, 19 . 



I am directed by the Council of the Victoria Institute 

 to remind you that the Annual Contribution due by you to the 

 Society for the year is now six months in arrears, 



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 ordei' or otherwise, at your earliest 

 convenience. 



I have the honour to be, Sir, 



Your faithful Servant, 



To Treasurer, 



FORM E. 



FORM OF BEQUEST. 



I give and bequeath to the Trustees or Trustee for the time 

 being of The Victoria Institute, ok Philosophical Society 

 OF Great Britain, to be applied by them or him for the 

 purposes of the said Society, the sum of £ , 

 if so intended " free of legacy duty." And I declare that the 

 receipt of the Trustees or Trustee for the time being of the said 

 Society shall be a good discharge to my Executors for the said 

 legacy. 



