Whitehorse film society - Membership application 2010

Name/s:....................................................

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

...........................................Postcode:.......

Phone:.....................Email:.............................

I/we would like to purchase a season ticket/s for all
screenings this year:

___ ticket/s - adult members at $55

___ ticket/s - pensioners and students at $50

I have enclosed a cheque for $.......
Payable to "Whitehorse Film Society inc."

PLEASE INCLUDE a stamped self-addressed envelope unless you prefer to collect your membership at a screening.
(a copy of this form is acceptable)

Please print this page, and send completed form,
WITH PAYMENT AND A STAMPED SELF-ADDRESSED ENVELOPE, to:-

The Membership Secretary
WHITEHORSE FILM SOCIETY Inc.
PO Box 147,
NUNAWADING 3131