Sorry, we are not enrtolling online this year but you can print this form, fill it in and send it to the address below, together with the appropriate annual fee.

       
           BFI/BFFS AWARD WINNER

Single member £6 concessions £5

Cheques / PO payable to 'Film club at the Roxy'

Please send to: Film Club at the Roxy, 4 Bradyll Terrace, Ulverston, LA12 0DH

New members may join at 7.30 pm on the night of each film but to help us avoid delays may we urge you to PLEASE join in advance using this application form.

ANNUAL MEMBERSHIP APPLICATION FORM

Please print name and full address

Name(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Address . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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. . . . . . . . . . . . . . . . . .post code . . . . . . . . .

 

I heard about Film club at the Roxy through . . . . . . . . . . . .. . .. . . .. . . . . . .. . . .. . . . . .

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I am/we are over 16 years of age                                  Signed . . . . . . . . .. . . . . . . . . . .

And enclose £ . . . . . . . . . . . . . .

nb. one form per household                                                                                                     

(website form)