Todmorden Silver Screen Group
Membership Application Form
Name:
Address:
..
.
.
Telephone No:
.
Mobile
No:
.
If you wish to
subscribe to our E-mail newsletter please complete or E-mail
'subscribe' to:
todmordensilverscreen@yahoo.co.uk
E-Mail Address:
I
wish to become a member of Todmordens Silver Screen Community Group:
£10.00 membership fee enclosed:
I am
over 60 and exempt:
Signed:
_____________________________
Dated: ______________________________
Any
information on this form will not be passed to any
other agencies and will not be used for the purposed of mailing
other than related to the Cinema Group.
Please return to:
Todmorden Silver Screen Group
C/o Todmorden Together
Room 14a
Burnley Road
Todmorden
Lancashire
OL14 7BX |
