MEMBERSHIP APPLICATION/RENEWAL FORM
(Please complete in BLOCK CAPITALS)

Mr/Mrs/Miss 	 Phone Number 	
Full Name 	
Address  	
	
email address 	
Full Name(s) of Associate Members 	
	
Surname in which interested 	  (Relf/Realf/Ralf etc)
Geographical area in which interested 	
Please enrol me in the International Relf Society.  I agree to my personal details being stored on computer for the purposes of Society administration (including publication to other  members and compilation of Member’s Interest Lists) as necessary.

* I enclose my cheque for £	  to cover my membership and that of 
    	   Associate Member(s).

* I have completed the Banker’s Order form below.
* delete as required
Signature 	 Date 	
Annual Membership from 1 August to 31 July is: Full Member - £7 (UK & BFPO)
or £9 (Elsewhere); Associate Member - £2 (at the same address as Full Member has  the same rights but receives no magazines). Overseas members may pay in the currency of their country (ascertain rate of exchange and round cheque up to the next dollar). Those joining after 31 January, in any year, may pay half the normal membership for the year as long as the full membership for the next year is also paid at the same time.

PLEASE MAIL TO:  (Mrs.) RUTH G. RELF, Treasurer/Membership Secretary, 
                                     812 Burnhamthorpe Rd., Apt. 1502,
                                     ETOBICOKE, Ontario, Canada, M9C 4W1
                                     Email:  rgrelf@idirect.com
04/07/04                                                                                                                                                                  

BANKER’S ORDER
(For use with UK Banks only)
(Complete and return with your Application Form)

From (Name)	
Address 	
	
To (Your Bank) 	
Address 	
	
Account Number 	

Pay the International Relf Society (account 40755613), Barclays
 Bank, Yeovil Branch, Sort Code 20-99-40, the sum of £	 
on receipt of this order and £	 on 1 August each year 
thereafter until cancelled in writing by me.

When making payments, please mention 
Membership Number  …………….

Signed 	 Date: 	

29/09/00