MEMBERSHIP APPLICATION FORM
Please hand in at the door on Film Night

or send to Ian Lynch, 43 Letchworth Drive, Chorley, Lancashire PR7 2HG

Mr/Mrs/Miss/Ms/Mr & Mrs
Address


E-Mail

Type of Membership:
Full Season Star Pass - £30.
Full Season Star Pass (Unwaged) - £20
Full Season Star Pass (Couples) - £50
Full Season Star Pass (Couples Unwaged) - £30

Film-by-film - £4

Please make cheques payable to 'Chorley Film Society'