Institute of Inventors

A voluntary non-profit Club for Inventors & Invention Investors
e-mail: mikinvent@aol.com
19-21-23 Fosse Way, Ealing, London W13  0BZ      United Kingdom   Tel: +44 (0)20 8998 3540, +44 (0)20 8998 6372

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Patents Prepared by IoI  

Print form, fill in and  post
Preferably enrol by telephone
020 8998 3540
for Instant Membership.

ENROLMENT FORM

To the President - The Institute of Inventors 19/21/23 Fosse Way - Ealing, London W13 OBZ
Tel.: #44 (0)20 8998 6372   Fax: #44(0)20 8998 6665   e-mail: mikinvent@aol.com

Please accept my membership application (joining fee UK £120       Outside UK £200.00) - NB cash & cheques are not accepted.
Please charge my Debit/Amex/Visa/Master Card No..........................................................

Valid From:               Valid to end:                  Security No.                 Issue No.              

SIGNED ................................................................. DATE .....................................

Full Name: ...............................................................................................................

Address: ..................................................................................................................

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Post code: .............................................Country: ................................................

Tel: (home): ........................................Tel: (work): ................................................

Mobile: ...........................................................

Date of birth: .......................................................................................................

Occupation.............................................Qualifications (if any): .............................

 List below titles of inventions (if any give patent numbers and dates )

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CONDITION OF MEMBERSHIP : It is a condition of membership that Members have
complete confidence in the honesty and integrity of the President - Michael V. Rodrigues,
and all Personal vetted by him.

Membership  is not an automatic guarantee for success - No Refunds.
                                
*Overseas Membership £200 or US $300
Annual Renewal Fee £40. (Overseas £60 or US $80).