To foster the collection, preservation, study and publication in the public interest of material relating to the Martineau family of Norwich in the 19th century and the principles of freedom oF conscience advocated by Harriet Martineau and her brother, Dr. James Martineau.

If you would like to join the Society please complete the form below, detach and return to the Hon Theasurer at the address shown.

Annual subscription -	institution £30	(Prospective Overseas members who do not have a
	individual £15	Sterling account living in the U.S.A. should
	concessionary £7.50	use The overseas application form)

due on 1st January.

Life membership - individual £150

To: (the lion Treasurer) Mrs Iris Voegeli, 25 Dyers Yard, Norwich, Norfolk NR3 3QY.

1/We/This Institution/* would like to enrol as a member/members* of The Martineau Society.
Preferred form of address (in capitals, please):

Name .........................................................................................................
Address .........................................................................................................
...............................................................................Post code..........................
E-mail: .........................................................................................................

Please find enclosed cheque for £.......... , payable to 'The Martineau Society'. I/We* have no objection to my name/our names* and address, as given on this form, being added to a database which will be confidential to the Society. I enclose completed Banker’s Order* and Gift Aid form*.

Signature...................................................................Date .................................

* Delete as appropriate.