Please print and complete the form below and post to Peggy Burley, 11 Broad Oaks Road, Solihull, B91 1JA


                                                 Solihull Film Society Application Form                                                                                                           Season 2019/2020



Number of Members applying for Membership ........................   
Single £44.00 - £88 Double

Name (s) ................................................................................................................................

Address ................................................................................................................................

...............................................................................................................................................

........................................................... Postcode ..................................................................

Telephone and / or Mobile ..................................................................................................

Email .....................................................................................................................................
(Giving your permission to receive newsletters & correspondence from us)

I enclose a cheque made out to SOLIHULL FILM SOCIETY for  :  £................................
Or pay online: Sort code 090127 Account no. 76269338
Please use your name as Reference

Where did you hear about us? ..............................................................................................

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