Gift Membership Your gift Available for a special occasion and lasting for twelve months, you can choose when membership begins. The gift pack can be sent directly to the recipient or to you to give as a present. 1. Your details (please complete all details in capital letters) Title Forename(s) Surname Address Postcode Country Telephone Membership number (if applicable) Email Please choose your preferred membership Ordinary Membership £130.00 Young Geographer 1 Year, with digital Geographical magazine £40.00 Young Geographer 2 Year, with digital Geographical magazine £72.00 Young Geographer 3 Year, with digital Geographical magazine £99.00 Payment method Cheque enclosed payable to the Royal Geographical Society with IBG Visa / MasterCard / Maestro / Switch Card number Start date (MM/YY) Expiry date (MM/YY) Issue number (Switch) . Signed ______________________ Date _______________ Reg Charity No 208791 VAT Reg No 676 3678 82 Gift Membership 2. Gift details (please complete all details in capital letters) Title Forename(s) Surname Address Country Postcode Telephone Email Date of birth (DD/MM/YY) Membership start date (MM/YY) Occasion for gift Delivery Renewal Delivery to your recipient On renewal contact your recipient Delivery to you On renewal contact you Please return this form with your payment to: Membership Office, Royal Geographical Society with IBG, 1 Kensington Gore, London SW7 2AR Telephone: +44 (0)20 7591 3080 or +44 (0)20 7591 3079 membership@rgs.org www.rgs.org/membership Source code Gift10 Data Protection Information will be treated with the strictest confidence. Relevant data will be recorded on our database for membership purposes only and never released to third parties for marketing purposes. Reg Charity No 208791 VAT Reg No 676 3678 82