Print this form, fill in the details and mail together with Enrolment Fee, or fax with card details.
Membership commences on receipt of membership card -
immediate if made  by Credit Card, Postal Order or Banker's Draft.
If Cheque allow 10 days for processing. Payment in British Pound Sterling.

To the President - The Institute of Inventors 19/21/23 Fosse Way - Ealing, London W13 OBZ
Tel.: #44 (0)20 8998 6372   Fax: #44(0)20 8998 1275   e-mail: mikinvent@aol.com

Please accept my membership application and joining fee of £120 * (attached or)
charged to my Switch/Debit/Visa/Master Card No.

Expires end:                                      Issue No.              (If Switch Card)

SIGNED ................................................................. DATE .....................................

Full Name: ...............................................................................................................

Address: ..................................................................................................................

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Post code: .............................................Country: ................................................

Tel: (home): ........................................Tel: (work): ................................................

Date of birth: .......................................................................................................

Occupation.............................................Qualifications (if any): .............................

 List below titles of inventions (if any give patent numbers and dates )

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CONDITION OF MEMBERSHIP : It is a condition of membership that Members have
complete confidence in the honesty and integrity of the President,
and all Staff and Committees appointed by him.

Membership  is not an automatic guarantee for success - No Refunds.
                                
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