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Membership Form
membership runs from September each year single member £6 - concessions £5
just fill in the form details and send...you can pay and pick up your membership card on the first
(or subsequent) film night

Name:
 
Email:
if you haven't got an email address, use this one: jbloggs@aplace.co.uk

New Member:
 
Current Member:
 
Previous Member:
 
I am OVER 16 years old:
 
Concession
Address:



include your post code 

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