The Savannah Gay & Lesbian Film Society Charter Membership Application
Please print legibly. NAME ______________________________________________________________________________ ADDRESS __________________________________________________________________________ ___________________________________________________________________________________ PHONE (day) _____________________________ (evening) __________________________________ EMAIL _____________________________________________________________________________ Check all that apply. My movie preferences are: (feel free to rank boxes numerically from 1 - 7 or just X) ____Gay/Men ____Lesbian/Women ____Drama ____Comedy ____Musical ____Documentary ____Shorts Comments: _______________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ ____ I would like to become a SGLFS Volunteer. Please contact me with more information. Make check payable to FCN and note Film Society in the memo section of your check. Mail this form with your check to: First City Network/ SGLFS
Membership period effective from: ____________________________ (date) to __________________________ (date). Amount Paid ___________________ |
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