Membership Application Form Name(s).......................................................................................................................................................................................... Address........................................................................................................................................................................................... ........................................................................................................................................................................................................ ....................................................................................................Postcode........................... Telephone.......................................E-mail............................................................................ Reasons for wishing to join the Society: ........................................................................................................................................................................................................ ........................................................................................................................................................................................................ ........................................................................................................................................................................................................ ........................................................................................................................................................................................................ ........................................................................................................................................................................................................ Signed.............................................................................................................................. I am/we are over the age of 18. Only those over the age of 18 can be accepted for membership. Please make cheques payable to The Dracula Society. The subscription rate is £19 for one calendar year, with a reduced rate of £34 for two UK members living at the same address. The price for individual overseas membership is £25*. Note that new members joining after September 1st will not need to renew until the end of the following year, and can therefore gain up to 16 months membership in their first year. *We can only accept UK pounds sterling. International money orders can be used, but must be in pounds sterling. Send to: The Dracula Society, 213 Wulfstan Street, East Acton, London W12 0AB United Kingdom ______________________________________ Office use: Membership number:..........................................