Become a member To become a member please fill in your details below or click here to download our application form. Surname or Library/Institution name Title First Name(s) Address Post/Zip code Telephone Mob: E-mail Address Data Protection Act (s): The personal information that you give will be used for the following purposes: Administration of your membership of the Society. Publication in the Society’s list of members. Used in a mailing list for the distributing of the Society’s Bulletin and other publications. Your e-mail address maybe used for communications from the Society. Please tick here if you wish to opt out Yes _______________________________________________________________________ Members may pay by banker’s order, by cheque (made payable to The Methodist Historical Society of Ireland) or by cash. Current annual subscription rates are: UK and Ireland—Personal: £15/€20* Student rate £5/€6 * Two members sharing the same address may apply for Family Membership: £20/€25 UK and Ireland—Institutional: £20/€25 Overseas—Personal: £25: Institutional £30. Overseas payments may be paid by PayPal—details from the Secretary: secretary@methodisthistoryireland.org _______________________________________________________________________________________ 2013-08-14 admin