Membership Form Use this form to Join us, Renew your Membership, or Upgrade a 3 Film Sampler. 1Your Details and Choices2Review and Pay What Do You Want to Do?* Join Renew Upgrade If you have been a member any time in the last 5 years, please use the Renew option. Name* First Last Email* Enter Email Confirm Annual Membership*Discounted Membership is available to full-time students, senior citizens and registered beneficiaries. Youth Membership is available if you are 16 years or under. Full details of the membership options are described here $120 Full Membership $110 Discounted Full Membership $50 Youth Full Membership $40 3 Film Sampler Your Current Card NumberUpgrade your 3 Film Card with a credit of $40 towards a Full Membership. You need to return the 3 Film card when you collect your new card at any Monday night screening. Your 3 Film Card Number*Upgrade Option*Discounted Membership is available to full-time students, senior citizens and registered beneficiaries. Youth Membership is available if you are 16 years or under. Full details of the membership options are described here $80 Upgrade to Full Membership $70 Upgrade to Discounted Full Membership $10 Upgrade to Youth Full Membership Contact Details Changed?Phone or Street Address Changed? 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Your membership card will be available for picking up between 5:30 pm and 6:00 pm at our next screening if this renewal is completed by midday Monday. Thank you for your donation of {Donation Amount:106} to the Film Society. We really appreciate this support. You selected the {Annual Season Ticket:102} option. Your membership card(s) will be available for picking up between 5:30 pm and 6:00 pm at our next screening if this renewal is completed by midday Monday. Thank you for your donation of {Donation Amount:106} to the Film Society. We really appreciate this support.You selected the {Full Membership:77} option. Your membership card will be available for picking up between 5:30 pm and 6:00 pm at our next screening if this renewal is completed by midday Monday. You need to hand in the 3 Film card when you collect your new card at any Monday night screening. Thank you for your donation of {Donation Amount:106} to the Film Society. We really appreciate this support.Any Comments?Please enter them here Please check the box below to accept our Terms & Conditions, then select Pay Now. This will transfer you to a secure payment gateway where you can pay the total of {Total Payment:4} by Visa or MasterCard.Terms and Conditions* New members can join at any time of the year, with membership running for 12 months from the month of joining. There is no refund for a cancelled membership. Memberships are non-transferable. A 3 Film Membership can be upgraded to a Full Membership by paying the price difference. The expiry date of the Full Membership will be that of the original 3 Film Membership. I agree to the Terms and Conditions Unique IDCommentsThis field is for validation purposes and should be left unchanged.
