gift-mem

							                                                           THE PHILIP LARKIN SOCIETY


                                                        A GIFT FOR A FRIEND
                                             You can now give a year’s membership of
                                            The Philip Larkin Society as a gift for a friend.

                                                         Please tick below if the gift is for something special:


A Thank You ...... a Christmas Gift ....... or a Birthday Gift ....... (Date dd/mm ......./.......)

Your ordinary gift or Thank You Gift will be sent out straight away. Your Christmas or Birthday Gift will be
sent in time for Christmas 2011 or prior to their birthday, as appropriate. All Gifts will be sent with an
acknowledgement that you sent it, together with a membership card.
For Christmas or Birthday Gifts your friend will be sent their copy of About Larkin at the appropriate time,
depending upon the publication date. All your friends will receive two editions of About Larkin in the year.

I wish to apply for membership of the Philip Larkin Society for the year 2011-2012 for a friend
of mine under the Gift for a Friend scheme.


Their Name ………………………………………………………………

Their
Address………………………………………………………………………………….
       ………………………………………………………………………………….

Their Telephone …………… Their Email address ……………………….........................



                     For UK Friends, the Fees from 1st July 2011 to 30th June 2012 are:

£20 (UK Full Fee) ___
£14 (UK Unwaged or Senior Citizen) ___
£ 6 (UK Unwaged Undergraduate Student) ___

For Friends Overseas, we accept payment by sterling, US dollar or Euro cheques or sterling cash.
We cannot accept foreign cash because of the prohibitive cost of conversion. The exchange rate for
cheques as is follows:
                                       Sterling                                   US $                        Euro
Full Fee                                  25                                        50                          36
Reduced                                   20                                        40                          30
Student                                  10                                         20                          15
.............................................................................................................................................................................................
.... I wish to pay by cheque or cash (Cheques should be made payable to ‘The Philip Larkin Society’)
.... I have paid on-line by Paypal . (Paypal reference number .............................................)



PLEASE PRINT YOUR NAME .......................................................................................

Signed …………………………………………………….. Date …………………

Return to:                             Andrew Eastwood, 16 Mere View Avenue, HORNSEA,
                                       East Riding of Yorkshire, HU18 1RR, United Kingdom.