__________________________________________________________________________

Please enrol me as a member of the Virginia Woolf Society of Great Britain for the calendar year ________ . 


I enclose my check for US$25 made payable to 'Nira Wright'  


It would help if you would fill in the 'memo' section of your check with the year you are paying for.  


Please do not send cheques in sterling.*


Name: Mr/Mrs/Miss/Ms _________________________________________

Address: _____________________________________________________

_____________________________________________________________

___________________________________  Zip code: ______________

E-mail: ____________________


Please send to: Mrs Nira Wright
1021 Salamanca Rd NW
Albuquerque
NM 87107
USA


*For payments in ££ sterling, see: UK Form

___________________________________________________________