Membership Application Form (for details of subscription rates and payment methods see bottom of form).

On completing this form, send it with your subscription to Dr. Tonie Stolberg, SRF Membership Secretary, c/o School of Education , The University of Birmingham, Weoley Park Road , BIRMINGHAM , B29 6LL , UK .

Name (& Title)

__________________________________________

Address

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Please enrol me as a member of the Science and Religion Forum

I am a full-time student at

______________________________ university /college.

I enclose a cheque for ____________, payable to “Science and Religion Forum”

I shall pay by bank transfer.

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To pay via PayPal [ www.paypal.com ]. Please quote the email address "info@srforum.org".

I am interested in subscribing to Science and Christian Belief at the reduced rate available to members of the Forum. Please send me further details of subscription rates.

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Optional Information

If you would like to give us any of the following information, it will help us in organising and planning the Forum's activities.

Telephone:
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Subscription Renewal Reminders are sent annually, usually by post. If we are able to use fax or email, please tick to indicate which method is possible:

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Present post held:

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Professional background:

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Particular interests in the field:

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The Forum is open to all who are concerned to relate established scientific knowledge and methodology to religious faith and practice. Membership is currently in excess of 360 people, of whom about half are scientists.

Benefits of membership include:
* Notification of the Forum's activities, including advance information concerning the annual conference
* Reduced subscription for attendance at the annual conference
* The receipt of two editions of REVIEWS each year free of charge
* Members may subscribe at a reduced rate to the journal Science and Christian Belief published twice a year by Christians in Science http://www.cis.org.uk
* Members may attend the conferences of ESSSAT (European Society for the Study of Science and Theology) http://www.esssat.org/ at a reduced rate.

Membership subscription
Subscriptions run for a calendar year priced £15 / 20 Euros / US$31;
Subscriptions for full-time students (any country) are half the normal rate.

Methods of Payment ( Overpayment by any method will be credited to a further year's subscription.)
* A cheque in GB pounds drawn on a UK bank (which may be a sterling Bank Draft).
* A cheque in any currency drawn on any bank: please add 20 Euros / US$31 to cover bank charges.
* Bank transfer to the Forum's account. Please contact the Treasurer (treasurer@srforum.org) for details.
* The online payment service PayPal. You may use a credit card by this method.

For more information about methods of payment, email Roger Paul at treasurer@srforum.org