I wish to become a member of the Pali Text Society and enclose (circle the appropriate 

amount):



	Sponsoring:	1 year: £22	5 years: £88

	Ordinary:	1 year: £11	5 years: £44



Cheques, etc., are to be made payable to The Pali Text Society.



To pay by credit card (circle the appropriate card):



	Visa	MasterCard



Card Number: _________________________________   



Expiry date: ________



Name on card (if different from below): ____________________





Kindly complete in block letters:



Name:		_______________________________



Address:	_______________________________



		_______________________________



		_______________________________



Telephone:	_________________________



E-mail:		________________________________







	Signed: ___________________   Date: _____________