LINLITHGOW FILM SOCIETY
40TH SEASON 2012 – 2013

Dear Member,
Welcome to our 40th season. If you wish to join/rejoin please complete the application form below (or simply give your details) and send with the appropriate subscription payable to:
“Linlithgow Film Society” and STAMPED ADDRESSED ENVELOPE to

RICHARD PAYNE, 22 HIGH STREET, LINLITHGOW EH49 7AE

Subscriptions: Individual £21:00*
Joint £36:00
Concession £17:00
* Transferable between partners if only one can attend, if both wish to attend a guest ticket must be obtained.

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I enclose £_______ subscription for Individual/ joint/ concession.
( delete as appropriate) membership of the Linlithgow Film Society for 2012/2013 season.

Signed________________________

BLOCK CAPITALS PLEASE

NAME_________________________________

ADDRESS_______________________________

_______________________________________

Tel. no._____________________

Post Code_____________________

HAVE YOU REMBERED YOUR STAMPED ADDRESSED ENVELOPE?!!!!