Enrolment form

Enrolment form

Institute of Inventors
A Non Profit Voluntary Inventor's Club run by Engineer Inventors - Founded 1964
Tel: #44 (0)20 8998 6372, #44 (0)20 8998 3540 Fax #44 (0)20 8998 1275

Print this form, fill in the details and mail together with Enrolment Fee, or fax with card details.
Membership commences on receipt of membership card - immediate if made by Credit Card, Postal Order or Banker's Draft.
If Cheque allow 10 days for processing. Payment in British Pound Sterling.

To the President - The Institute of Inventors 19/21/23 Fosse Way - Ealing, London W13 OBZ
Tel.: #44 (0)20 8998 6372 Fax: #44(0)20 8998 1275 e-mail: mikinvent@aol.com

Please accept my membership application and joining fee of £120 * (attached or)
charged to my Switch/Debit/Visa/Master Card No.

Expires end: Issue No. (If Switch Card)

SIGNED ................................................................. DATE .....................................

Full Name: ...............................................................................................................

Address: ..................................................................................................................

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Post code: .............................................Country: ................................................

Tel: (home): ...........................Tel: (work): .............................Tel: (Mobile)...................

Date of birth: .......................................................................................................

Occupation.............................................Qualifications (if any): .............................

List below titles of inventions (if any give patent numbers and dates )

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CONDITION OF MEMBERSHIP : It is a condition of membership that Members have complete confidence in the honesty and integrity of the President, and all Staff and Committees appointed by him.
Membership is not an automatic guarantee for success.

*Overseas Membership £200 or US $300
Annual Renewal Fee £40. (Overseas £60 or US $80)
Urgent /Instant Membership can be obtained over the phone by credit card holders.

President: Michael V. Rodrigues B.Sc. Eng. (Mech & Elect) Click here for Profile of President