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A membership form is attached below. Interested parties should complete and return to Evelyn Bowman, IAFP Conference Registrations, Forensic Psychiatry, St. George’s Hospital Medical School, Cranmer Terrace, London SW17 ORE
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Membership Application for IAFP |
Standing Order Authority |
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Name: ..............................................................................Address: ............................................................................. .............................................................................. .............................................................................. Telephone Number: ............................................................. Fax Number: ....................................................................... E-mail: ............................................................................ Subscription 1998: £30, payable by standing order, cheque or bankers’ draft in sterling and made payable to "International Association for Forensic Psychotherapy". I wish to become a member of the International Association for Forensic Psychotherapy. Special interest in Forensic Psychotherapy:
Signature: .............................................................................. Date: .............................................................................. |
TO: The Manager.............................................................................. Bank Bank Address: .......................................................................... .......................................................................... ........................................................................... Account Number: ..................................................................... Please pay to the Bank of Scotland, 91 High Street, Dumfries, Sorting Code 80-11-60, the sum of THIRTY POUNDS immediately and annually on 1 January for the credit of International Association for Forensic Psychotherapy, Account Number 00374727. This order to remain until cancelled by me in writing. Signed: ...................................................................................... Date: ....................................................................................... Your name and address: ............................................................ ............................................................................................................................................................................... |