Xll 
FORM B. 
Sir, 19 . 
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 
Philosophical Society of G-reat Britain. 
I have the honour to be, Sir, 
Your faithful Servant, 
To 
Sec . 
FORM C. 
{Bankers') Messrs. 
* Please pay Messrs. Barclay' & Co., 1, Pall Mall East, S.W., 
my Annual Contribution of Two Guineas to the VICTORIA 
INSTITUTE, due on the 1st of January, 19 , and the same 
amount on that day in every succeeding year, until further notice. 
I am, 
Your obedient Servant, 
19 
If 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 . Iieceipt- 
stamp required. 
* The above is the form for Members. The form for Associates is the same 
except that the Subscription stands as “ One Guinea.” 
