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 - 8 or just X)
____Gay ___ Lesbian ____Transgender ____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
P.O. Box 2442
Savannah, GA 31402-2442
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To Be Completed By SGLFS:
Membership period effective from: ____________________________ (date) to __________________________ (date).
Amount Paid ___________________
