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Please help us by joining early by post.

I/We wish to join TPH film club for the 2018/2019 season
        Note: All members must be over the age of 16.

I/We enclose .........................................
         (Cheques payable to Thornbury Picture House)

Please write clearly in Capital Letters.

From  (Mr, Mrs, Ms,Miss)

NAME 1------------------------------------------------------------

NAME 2 ------------------------------------------------------------

ADDRESS------------------------------------------------------

---------------------------------------------------------------------

----------------------------------------------------------------------

POSTCODE-----------------------------------------------

Telephone--------------------------------------------------

Mobile-------------------------------------------------------------

email 1 --------------------------------------------------------------

email 2 --------------------------------------------------------------

Signed---------------------------------Date--------------------

GDPR Your signature will be taken as consent  for TPH to store your personal data., we will process the data submitted on this forn for TPH purposes only, in compliance with our GDPR policy available here

Membership fees for 2018/19 season

27.50 for 1 person 55.00 for 2 people   

Please send the completed form with your cheque to:
TPH Membership Secretary
Hollybush Cottage, Clay Lane, Thornbury,
South Glos, BS35 3UA. Tel 01454 412272
email films@thornburypicturehouse.org

THORNBURY PICTURE HOUSE
MEMBERSHIP FORM (one person)
THORNBURY PICTURE HOUSE
MEMBERSHIP FORM (1 or 2 people)

 

 

Please help us by joining early by post.

I wish to join TPH film club for the 2018/2019 season
        Note: All members must be over the age of 16.

I enclose 27.50.......................................
         (Cheques payable to Thornbury Picture House)

Please write clearly in Capital Letters.

From  (Mr, Mrs, Ms,Miss)

NAME------------------------------------------------------------

ADDRESS------------------------------------------------------

---------------------------------------------------------------------

----------------------------------------------------------------------

POSTCODE-----------------------------------------------

Telephone--------------------------------------------------

Mobile-------------------------------------------------------------

email---------------------------------------------------------------

Signed---------------------------------Date--------------------

GDPR Your signature will be taken as consent  for TPH to store your personal data., we will process the data submitted on this forn for TPH purposes only, in compliance with our GDPR policy available here.

Membership fees for 2018/19 season

27.50 for 1 person    

Please take a copy of this page on your own printer and send the completed form with your cheque to:

TPH Membership Secretary
Hollybush Cottage, Clay Lane, Thornbury,
South Glos, BS35 3UA. Tel 01454 412272
email films@thornburypicturehouse.org