Auckland Film Society 2012
Membership Application Form

Name

Address



Phone (w)
(h)

Email
Please send me email from Auckland Film Society.

Cheque
Visa
Mastercard

 

Credit Card No

Expiry Date
Cardholder Name
Cardholder Signature


Premier Card Member/s at $165/$140*
$



2012 Card Member/s at $30
$



TOTAL payment
$


*Discount Premier Card price $140 applies to Premier Card members re-joining, film industry guild members, Friends of the Film Archive, bCard holders, students and beneficiaries with ID. Please show your ID or membership card to receive the discount or write membership number here:

Fax completed form to 09 570 9702

Or post to

Auckland Film Society,
PO Box 5618,
Wellesley Street,
Auckland 1141

Mark envelope "Freepost 1944" or help us by attaching a 60c stamp.

Or bring this form to any AFS screening at the Rialto Cinemas, 167 Broadway, Newmarket, and join at the AFS table in the lobby.