Membership Application Form.

The subscription for the year 1999 is £6.50 (UK); £7.50 (Europe); £9.00 (Worldwide). Please make your remittance payable to The Mantis Study Group. Send your remittance to the address below.

Full Name:__________________________________________________
Age:____________
Address:___________________________________________________________________
__
___________________________________________________________________________


Home Telephone No.:_____________________E-mail
Address_________________________
Species
kept:_________________________________________________________________
___________________________________________________________________________


Particular interests in
Mantids:____________________________________________________
___________________________________________________________________________


Where did you obtain this membership
form?_________________________________________



Payment should be made to

Membership Secretary & Treasurer:
Paul Taylor.
24 Forge Road, Shustoke, Coleshill,
Birmingham, B46 2AU, U.K.