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Film Club Membership

Given names

Family Name

Address:

Suburb

State

POSTCODE

Date

Date of Birth

Gender

male
female
other

Email:

Phone:

Mobile:

What type of movies do you like?

What are your favourite films?

What are your favourite Australian Films?

Would you like to help organise the Movie Club?

Please tick appropriate box.

Program Planning
Projectionist
Promotion
Committee

Membership

Membership entitles individual to attend all Katoomba Film Society events including:
Classic Movie Matinee movies (2nd and 4th Wednesday each Month, Feb- Nov, 11am),
Classic Sci-fi & Cult Movie Nights (3rd Friday each Month, Feb- Nov, 7.30pm)
other special film events, and Film Club committee meetings.

Individual Membership: $30.00 /calendar year

Please complete this form & return with Cheque or money order (made out to Katoomba Neighbourhood Centre) to:
Katoomba Neighbourhood Centre, PO Box 197, Katoomba, NSW 2780

Katoomba Film Society is a joint project of Katoomba Neighbourhood Centre and the Paragon Cafe

Members over 65 (Others please go to Submit button at the bottom)

If you are over 65 or a carer of someone over 65 please fill in the following information to help us maintain our funding through the Commonwealth Home Support Program (CHSP).
If you would like more information about KNC's CHSP funded programs please ask one of our staff or call KNC on 47821117