IBRG membership application form

IBRG membership application form
Name
Phone
Email
Address

Membership fee: Waged �5 Unwaged �1. Donations welcome. Please make cheques payable to lBRG. You can type your details into this form. Print or otherwise reproduce the form and send the completed version, with the appropriate fee, to:

PO Box 22790
London N22 8AE