If
you would prefer not to join the PBS online, please print off this form and return
it with your payment to -
The Poetry Book Society
Fourth Floor
2 Tavistock Place
London
WC1H 9RA
UK residents can use our Freepost address
- no stamp required:
Freepost RLUG-ESEG-KXUC
The Poetry Book Society
2 Tavistock Place
London
WC1H 9RA
Your
details
Name .................................................................................................................
Address ..............................................................................................................
............................................................................................................................
Postcode
.................................................
Email ..................................................................................................................
Adult PBS Membership package - please
circle the option you require
| Membership | Full | Charter | Associate | Education | Charter | | UK | £35 | £130 | £10 | £38 | £130 | | Non-UK
Surface | £45 | £145 | £12 | £48 | £145 | | Non-UK
Airmail | £53 | £175 | £15 | £58 | £175 |
Membership Total ............
Total
............
I enclose a cheque made payable to the PBS for the above sum (British £ sterling
only, please)
Please invoice me (organisations only)
Please charge my credit / debit card (circle appropriate card)
Visa
/ MasterCard / Switch Maestro / Delta / JCB / Amex
Card number ......................................................................................................
Expiry date ..............................
Valid from ................................
Issue no (Switch only) ...................................
Signed
............................................................ Date .........................................
Want to send a gift membership?
Call 020 7833 9247 for details
To return
to the PBS website, please use your 'back' button or the links at the top or bottom
of this page. |