________________ APPLICATION FOR MEMBERSHIP To The Hon. SECRETARY, THE INDIA SOCIETY, 3 VICTORIA STREBT, LONDON, S.W. 1. SIR, an Ordinary Member I desire to become a Life Member er of THE INDIA SOCIETY, and shall be glad if you will 1 bring my name before the Committee at their next Meeting Name and full designatson, as it should appear in the List of Members Full permanent address Date My temporary address until Members are invited to pay their subscriptions by means of the Society's Banker's Form Cheques should be made payable to "The India Society" and crossed "Lloyds Bank I enclose my subscription for Life Membership, PS 12 128. od. "Ordinary E1 iis. 6d. BANKER'S FORM .......193 Messrs............................... Address Please pay to the India Society's Account at Lloyds Bank, 382, VICTORIA Street, London, S.W. 1, my Annual Subscription of One and a half Guineas now, and on the 1st of January every succeeding year unless otherwise ordered. (Signed) ..... PS1 IIs. 6d. This Order to be filled in by the Member, signed, and returned to the Hon. Treasurer, INDIA SOCIETY, 3 Victoria Street, London, S.W. 1. * Fill in Name and Address of you Banker.
