Queenstown Film Society 2011 Membership

Join Queenstown Film Society and you can enjoy 25 films for just $105, and membership runs for a full calendar year from the date you sign-up. Alternatively you can go for a half season at $60, or try out our three-film sampler for $30, both of which are upgradeable to full membership. To join, print out this form and bring it to any screening or post with a cheque to PO Box 830, Queenstown.

Alternatively you can pay by direct credit to BNZ Account 02 0948 0226098 00, including your first and last name, and phone number in the reference fields.

Please print clearly and ensure that you sign the form.

I hereby apply to join the Queenstown Film Society.

 
First Name: _________________________________ Family Name: _____________________________________


Address: ____________________________________________________________________________________


Email address: _______________________________________________________________________________


Phone number: _______________________________________________________________________________



Signature: ________________________________________________________ Date:_______________________


Full year: $105.00 single membership [_] - one year from date of joining

Half:  $60.00 single membership [_] - 12 consecutive films

Three film sampler: $30.00 single membership [_] - any 3 films during 2011 season

Single members - shall be those persons being not less than seventeen (17) years of age, who have applied for such membership on the prescribed form and have paid the requisite subscription.

How did you hear about us:

Radio: [_] Word of mouth: [_] Mirror: [_] Mountain Scene: [_] LWB: [_] Poster: [_] Other: [_] _______________________
 
Programme subject to change without notice.

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Official use:

Membership Number: ________________________ Cheque [_] Cash [_] Direct Credit [_] amount: ______________

In accordance with the Privacy Act 1993, we advise members that we will maintain on file your name and address as used in mailing new season and special screening details to you. You are welcome to access and correct such information by writing to the Society or enquiring at our screenings. If you do not wish to receive advice on other film related events, which the committee may decide to share with our members from time to time, please let us know.