RFS Memebrship Application Form

MEMBERSHIP APPLICATION FORM

RICHMOND FILM SOCIETY MEMBERSHIP APPLICATION FORM

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I/We wish to rejoin/join RICHMOND FILM SOCIETY for the 2011-2012 season,
and provide a cheque for £50.00 (£30.00 for full time students and ES40s) per person.

Please send this completed form and the cheque, made payable to
‘Richmond Film Society’, together with a stamped self-addressed envelope to:

Sally Maynard, 89 Third Cross Road, Twickenham, Middlesex, TW2 5DY

(should you require any further details then phone 020 8893 3503

or use the e-mail link below)

Name(s):

Mr/Mrs/Miss/Ms............................................................................

Address:

...............................................................................................

e-mail:

...............................................................................................

Telephone:

.............................................................

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