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The Institute of Vitreous Enamellers
Founded 1934 London Reg. No. 290 392

39 SWEETBRIAR WAY, HEATH HAYES, CANNOCK, STAFFS. WS12 2US, ENGLAND
Tel: 01543 450596, Fax: 08700 941237, E-mail: [email protected], Web Site: www.ive.org.uk

Personal Member Application Form - Updated: 31 March, 2004
Application for Membership as a Member or Associate *
(*Delete as necessary) Please print out and post, together with your remittance)

Title ( Mr/Mrs/Miss/Other). Please state:______

First or Given Name   _________________________________ Mid-Initials_____

Last or Family Name   _______________________________________________

Business Address ___________________________________________________

                            ___________________________________________________

Correspondence Address   ____________________________________________

                     _______________________________________

Town/City   _______________________________________________________

Post/Zip Code   ______________________ Country   ______________________

Phone   ____________________________ Fax   _________________________

E-mail   ____________________________    Web Site   ___________________

Official Representative ______________________________________

The above applicant, wishes to join The Institute of Vitreous Enamellers and we, the undersigned,
propose and second them as a proper persons to be admitted to Membership.

Proposer _____________________ Seconder ____________________

(Two Member�s, Associate�s or Fellow�s signatures are required.)

I, the undersigned, do hereby apply to be admitted shown above and undertake, if
admitted, to pay the fees in connection with our Membership , and also to abide and
be bound by the Rules and Regulations. Notice of withdrawal from Membership
shall be at least three months before March 31st of any year, in writing to the office
of The Institute. At that time, provided that we have paid arrears which may be due
by us, then we shall be free of our obligations to The Institute.

Signature of applicant  ____________________________________

Nationality   ________________________    Date   _____________________

Please complete the second page of this form

 

 

Qualifications Of Applicant

Please give below a concise account of any formal training, which you may have received together
with details of your career.

NOTE : This application will be placed before the Council of The Institute
at their next meeting for ratification. Please send your first year�s
subscription with this application form. Your membership will commence on receipt of
this completed form with payment.

See separate page for current Membership Subscription Rates.

Please return this form to : -

The Institute of Vitreous Enamellers
39 Sweetbriar Way
Heath Hayes
Cannock
Staffs
WS12 2US

United Kingdom