Print, complete, sign & post 

To the President
The Institute of Inventors
19/21/23 Fosse Way
Ealing, London W13 0BZ, UK

Please accept my membership  joining fee UK£120   (Overseas £200)
Please charge my Debit/Amex/Visa/Master Card – cash & cheques are not accepted.

Card No………………………………………………….

Valid From:…………. Valid to end:……….. Sec No. ………Issue No. ……

SIGNED …………………………………………… DATE……………………….

Full Name: ……………………………………….……………………

 Address: ……………………………………….……………………………………………..………………………………………………………………………………………………………………….

Tel: H: …….……………….W: ………..………………M: ………………..……..

 Date of birth: …………..……Last Occupation…………………………………..

Qualifications (if any): ……………………………………………………………….

 List below titles of inventions (patent numbers & dates – if any)

…………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………….

In joining I accept IoI Conditions of Membership which are:-
1. Complete confidence in honesty & integrity of President & IoI personnel.
2. Membership is not an automatic guarantee for financial success.
3. IoI do not accept unlawful & obscene inventions.
4. No Refund* of Joining Fee 
* This is a “business to business” contract so ”Distance Selling Regulations” do not apply.

 Annual Renewal Fee for the UK GB£40,       Overseas GB£60 

Institute of Inventors
A non-profit Inventor Institute established 1964
President – Michael V. Rodrigues – B.Sc. Eng. (Mech & Elect)
19-21-23 Fosse Way, Ealing, London W13 0BZ

Tel: #44 (0)20 8998 3540, #44 (0)20 8998 6372   email:mikinvent@aol.com  
www.instituteofinventors.com  www.collateralism.com    www.gigadron.com