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Please help us by joining early by post.

I/We wish to join TPH film club for the 2022/2023 season
        Note: All members must be over the age of 16.

I/We enclose £.........................................
         (Cheques payable to Thornbury Picture House)
         (or I have set up a bank transfer for £                 )

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 2022/23 season

£33.00 for 1 person £66.00 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 2022/2023 season
        Note: All members must be over the age of 16.

I enclose £ 33.00........................................
         (Cheques payable to Thornbury Picture House)
          (or, I have set up a bank transfer for £33.00               )

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 2022/23 season
    
£33.00 for 12 films                                  

  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