Request Form

Before submitting your enquiry below, please note:

 

• Mensa Home Tests and Mensa Supervised IQ Tests are not suitable for anyone under ten and a half years

 

• British Mensa administers testing and membership for people living within its designated territory - i.e. the United Kingdom, Republic of Ireland, Channel Islands and Isle of Man. Anyone from outside this territory can find their national Mensa group at the Mensa International website
• If you do not have a postcode then please enter: n/a
• If you do not have an email address then please enter: no@email.address

 

Fields marked with a must be completed before the form is submitted

Request Form

Nature of Enquiry: Please send me a Mensa Home Test Please send me information about supervised Mensa IQ Tests I have a question about Mensa (Please see my message below) My membership lapsed so I want to rejoin British Mensa

How many home tests required? 0 1

Your Title (e.g. Mr / Mrs / Ms / Miss / Dr / Prof):

Your First Name:

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What prompted you to find our website?

Are you a resident of the British Isles? Yes - I usually live within territory of British Mensa No - I don't live within territory of British Mensa

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Date of Birth: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Date of Birth (month) January February March April May June July August September October November December Date of Birth (year) 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

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