Blandford Forum Film Society - Membership Application

Please print this form and send it with a cheque to:

Membership Secretary, Sarah Fale, Blandford Forum Film Society, 3 Field View, Alexandra Street, Blandford, DT11 7JQ  

Name(s): _______________________________________________________________

Address: _______________________________________________________________

               _______________________________________________________________

               _______________________________________________________________

Phone: _____________________________

Membership Category (please tick)

o  Adult  £24.00

o  Couple at same address £21.50per person

o  under 21*/Over 60 £21.50per person

o  Other concessions (please enquire) £21.50 per person

 * Please note membership is not open to under 16s

I/we apply to join the Blandford Forum Film Society for the 2007/2008 season and enclose a cheque (payable to Blandford Forum Film Society) for

£ ____________

Signed: _______________________________________________________

Date: ______________________________