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Membership Application Form

Name:

Address:

 

Post Code:

Phone:

Email:

Subscription
(Please circle your selection)

Annual
Full $65  | Concession $40

3 Films
Full $20 | Concession. $12

Cheque OR Cash

Please forward to:
The Secretary
Barwon Heads Film Society Inc.
C/- Post Office
Barwon Heads Vic 3227

Enquiries:
barwonheadsfilmsociety@hotmail.com