FORM B. 
Sir. 
I have the pleasure to inform you, with reference to 
your application dated the 3 that you have 
duly been elected a of the Victoria Institute, or 
Philosophical Society oe Great Britain. 
I have the honour to be, 
Sir, 
Your faithful Servant, 
m _ Hon. Sec. 
FORM C. 
( Bankers ) Messrs — 
* Please pay Messrs. Ransom, Bouverie, & Co. my 
Annual Contribution of Two Guineas to the VICTORIA 
INSTITUTE, due on the 1st of January, 187 , and the 
same amount on that day in every succeeding year, until 
further notice. 
I am, 
Your obedient Servant, 
'■ 187 . 
If this Form be used, please add your Signature, Banker’s Name, and the 
Date, and return it to the Office, 8, Adelphi Terrace. Receipt-stamp required. 
* The above is the form for Members. The form for Associates is the same, 
except that the Subscription stands as “ One Guinea.” 
