Hamilton Film Society 2010
Membership Application Form

Name

Address



Phone (w)
(h)
Email
If you don't wish to receive mail about other film events, please tick here.

Cheque
Cash


Single Membership at $100
 $



Student / Retired / Unwaged at $90
 $



Flexipass at $30
 $



TOTAL payment
 $

Post to

Hamilton Film Society,
PO Box 1216,
Hamilton

Or bring this form to any HFS screening at the Victoria Cinema, 690 Victoria St, Hamilton and join at the HFS table in the lobby.