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:
The Poetry Book Society
Freepost RLUG-ESEG-KXUC
Fourth Floor
2 Tavistock Place
London
WC1H 9RA
Your
details
Name .................................................................................................................
Address ..............................................................................................................
Postcode ..........................
Phone ....................................................
Email ..................................................................................................................
Membership package - please circle
the option you require
| Membership | Full | Associate | Education | Charter | | UK |
£40 |
£12 |
£43 |
£140 |
| Non-UK
Surface Mail |
£50 |
£14 |
£53 |
£155 |
| Non-UK
Airmail |
£58 |
£17 |
£63 |
£185 |
Free Book Offer - if you are joining as a Full, Education or Charter Member please choose the free book you'd like to receive as a welcoming gift
| Book Title |
| Selected Poems by Carol Ann Duffy |
| Selected Poems by Geoffrey Hill |
| Selected Poems by Roger McGough |
Please choose from the following payment options:
Cost of Membership £............
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 / Maestro / Amex
Card number ......................................................................................................
Expiry date ................................
Valid from ................................
Issue no (Maestro only) ...................................
Security Code (last 3 digits on card signature strip) .....................
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. |