print, complete, sign & post
To the President
The Institute of Inventors
19/21/23 Fosse Way
Ealing, London W13 0BZ, UK
Please accept my membership (joining fee UK £120 Overseas £200.00)
Please charge my Debit/Amex/Visa/Master Card – cash & cheques not accepted.
Card No………………………………………………….
Valid From:…………. Valid to end:……….. Sec No. ………Issue No. ……
SIGNED …………………………………………… DATE……………………….
Full Name: ……………………………………….……………………
Address: ……………………………………….……………………………………………..………………………………………………………………………………………………………………….
Tel: H: …….……………….W: ………..………………M: ………………..……..
Date of birth: …………..……Last Occupation…………………………………..
Qualifications (if any): ……………………………………………………………….
List below titles of inventions (patent numbers & dates – if any)
…………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………….
Conditions of Membership :
1. Complete confidence in honesty & integrity of President & IoI personnel.
2. Membership is not an automatic guarantee for success.
3. No Refund of Membership Fee.
4. We do not accept unlawful & obscene inventions.
Annual Renewal Fee for the UK GB£40, Overseas GB£60
