Membership Registration Form Name(required) Address (for delivery of the Kipling Journal)(required) Address line 2 Address line 3 Postcode/Zipcode(required) Country of residence(required) Telephone number(required) Email address(required) Institute where studying (if applying for student rate) How did you hear about the Society? I wish to pay my annual subscription by the following method:(required) Cheque (made payable to ‘The Kipling Society’) PayPal (via the Society's website) Standing Order (please ask the Membership Secretary for a Standing Order Mandate form) Bank Transfer to the Kipling Society’s bank account: 00114978, sort code: 30-96-24 IBAN: GB18LOYD30962400114978 ‑ BIC: LOYDGB21014 Data protection The Society will hold my name, address, telephone number, email address and subscription details for the sole purpose of maintaining a record of my membership, for Society correspondence and for delivery of the Kipling Journal. I agree to the data protection statement(required) Submit details Δ
