To THE SECRETARY, EUGENICS EDUCATION SOCIETY,
6, York Buildings, Adelphi, London, W.C.

Kindly enrol my name as a MEMBER[L]
an ASSOCIATE[M]
of the First International
Eugenics Congress		for which I herewith enclose my fee.
for which I will pay on arrival. (Cross out one of these lines).

Name _____________________________________________________
Profession _____________________________________________________
Address in full _____________________________________________________
____________________________________________________
(Kindly write clearly.)

The foregoing data are requested at your earliest convenience, so that they may be included in the official list of the Congress.

Fees may be paid either by cash, postal money order or cheque, to the Assistant Treasurer—

Miss E. Sellar,
6, York Buildings,
Adelphi, London, W.C.

N.B.—Only Members paying in advance will be able to avail themselves of the reduced Railway fares, as in all cases the Congress Voucher must be produced before the ticket will be issued.

[L] The Membership fee is one pound sterling, equivalent to twenty-five francs, twenty marks, twenty-eight pesetas, or ten dollars Mexican currency.

[M] The Associate Membership fee is ten shillings, equivalent to thirteen francs, ten marks, fourteen pesetas, or five dollars Mexican currency.