KIPLING SOCIETY MEMBERSHIP AS A GIFT

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THE GIVER
Please enter your surname:
first name:
address - line 1:
address - line 2:
address - line 3 and postcode:
country:
telephone number:
email:


THE BENEFICIARY
surname:
first name:
title (Mr/Mme/etc..):
date of birth if under 28 (DD/MM/YYYY)
address - line 1:
address - line 2:
address - line 3 and postcode:
country:
telephone number:
email :
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 the beneficiary need the Journal by airmail, at an extra cost of 4.00 or $US8.00 ? (Y/N)