CROPREDY FILM SOCIETY

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Title: Mr/Mrs/Ms/Miss/other...................

Forename:..................................................

Surname:....................................................

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

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

Telephone:...........................

Email:........................................................................................

I wish to apply for life membership of Cropredy Film Society.

I agree to abide by the rules of the Society, available with the Constitution, on request from the Secretary. There will also be copies available for consultation at the initial screening.  

I enclose a cheque for £10 made payable to Cropredy Film Society -  OR

I wish to apply for a concessionary rate of life membership.  I am over 60. I enclose a cheque for £8 made payable to Cropredy Film Society.

Signed: ………………………………………………………

Please post the signed form with your subscription payment to Frances Whitaker - The Barn, Kyetts Corner, Cropredy, Banbury. Oxon. OX17 1JW. In case of queries telephone 01295 758448.