Canterbury Film Society 2011
Membership Application Form

Name

Address



Phone (w)
(h)
Email
Please send me email from Canterbury Film Society.

Cheque
Cash (in person)
Direct Deposit (email JOIN@ CANTERBURYFILMSOCIETY.ORG.NZ for immediate instructions)


Full Membership at $40
 $




$




$




$



Donation (CFS is a registered charity and IRD official Donee Organisation
 $



TOTAL payment
 $


Post the completed form to

Canterbury Film Society,
c/ TAFS,
University of Canterbury,
Private Bag 4800
Christchurch

Or bring this form to any CFS screening at the CPSA Building at CPIT on Madras St and join at the CFS table in the lobby.