The following forms of membership of The House of Isis and Osiris are available:
Complete the following form and send (including the appropriate
payment) to:
Note that changes in status can only be recorded at the point of annual renewal.
Please tick one box as appropriate.
_
|_| I wish to apply for membership of The House of Isis and Osiris as
an Associate Member. (£7.50)
_
|_| I wish to apply for membership of The House of Isis and Osiris as
a Full Member. (£10.00)
_
|_| We wish to apply for joint membership of The House of Isis and Osiris
as Full Members. (£15.00)
Forename(s): ____________________________________________________________
Surname(s): ____________________________________________________________
Address: ____________________________________________________________
____________________________________________________________
Town/City: ____________________________________________________________
County: ____________________________________________________________
Postal Code: ____________________________________________________________
Country: ____________________________________________________________
Telephone: ____________________________________________________________
E-mail: ____________________________________________________________
Signature(s): ____________________________________________________________
Date: ____________________________________________________________
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