Application for Membership of Conchological Society of G.B. & Ireland
This form is for you to print and post. It cannot be submitted online

Title		Initials
Surname
Address
			Postcode
Country		Email address

Molluscan Interests (please underline all that apply)

British marine	Foreign marine	British non-marine
Foreign non-marine	Conchological books	Fossils
Diving	Photography	Mollusc captive rearing
General malacology including genetics and physiology	Conchological poetry and prose	Conservation (including ecology and pollution)
Applied Conchology/conchologia (e.g. snail or shell ornaments, shell money, cooking, decoration, shells on stamps, shell craft, etc)

Rates of subscription effective from 1st. January 2006
Tick the type of membership you require.

Full membership	£33.00
Family membership	£35.00
Student (in full time education)	£15.00
Institutional (UK address)	£47.00
Institutional (Overseas)	£50.00

                      Please complete the above form and send it with your remittance to :
The Conchological Society, 32 Upper Belmont Road, Chesham, Buckinghamshire. HP5 2DE.  UK

Payment must be by sterling cheque drawn on a UK bank. Overseas payments must be by International Money Order or by Western Union, but probably the simplest way (especially for overseas payments) is by credit card via PayPal by clicking on their logo.