FORM OF APPLICATION for tlie Admission of Vice-Patrons, 

 Members, or Associates i\ T ~ the VICTORIA INSTITUTE. 



191 



/ hereby desire to be enrolled a * of the Victoria 



Institute, or Philosophical Society of Great Britain. 



* Here insert whether as Vice- Patron, Member, or Associate. (If for life, state so.) 



Candidate s Title and f 



Same in full ^ 



Profession. University degree, arc, C~ 



or other distinction. 



Address 



If an Author, the name of the Can 

 didate's works may be here stated. 



dominated by 



When filled, this form should be sent — 

 Tc the Secretary of the Victoria Institute. 



1. Central Buildings, Westminster, S.W. 



MEMBERS AND ASSOCIATES. 



The Annual Subscription is Two Guineas for Members ; One Guinea for 

 Associates. Or, in lieu of Annual Subscription, the payment of Twenty 

 Guineas will constitute a Life Member, or of Ten Guineas a Life Associate. 



Members alone are eligible to vote in the election of the Council, or in 

 determining any question at a General Meeting. Both Members and 

 Associates receive the Annual Volume of the Transactions, post free. Both 

 are also entitled to attend the Meetings and to bring friends, and to make use 

 of the Library and Beading Boom. 



[It is to be understood, that only such as are pr« Tessedly Christians are 

 entitled to become Members.] 



+ % Subscriptions are payable to the credit of the " Victoria Institute ■ at 

 " Barclay's Bank, :: 1, Pall Mall East, S.W., or may be remitted to the Secretary, 

 at the Office. Post Office Orders ion General Post Office) or Cheques should be 

 made pavable to "Victoria Institute or order ~ and crossed u Barclay & Co." 



All Enquiries or Correspondence should he addressed to the 

 Se< •etart/, E. Walter Maunder, F.B.A.S. 



