KIPLING SOCIETY MEMBERSHIP FORM

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Please enter your surname:
first name:
title (Mr/Mme/etc..):
honours/decorations:
degrees/professional qualifications:
date of birth (if under 28)
address - line 1:
address - line 2:
address - line 3:
country:
telephone number:
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email address:
proposed username:
proposed password:
confirm password:
The annual subscription is 24.00 (UK), 26 or 40 (Europe), or for the rest of the world $US52.00 If you are outside Europe, will you need the Journal by airmail, at an extra cost of 4.00 or $US8.00 ?
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