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Capri Movie Club Membership Application [Please PRINT]
Surname: .................Given name: . ..
Address: .. ..
. ... ...Postcode: ..
Telephone: ....Fax ... .
E-mail: .. ..
Age: [Circle one] Under 20 20-29 30-39 40-49 0ver 50
The annual membership fee entitles you to attend any public film session held at, and presented by, the Capri Theatre, which is not marked as SPECIAL EVENT or NO FREE LIST, for an admission price of seven dollars [$7.00]
This offer only applies to movies presented by the Capri Theatre and does not apply to any film sessions presented by an organisation which hires the Capri to present movies.
This entitlement is valid for a period of twelve months from the date of issue. The expiry date will be displayed on your membership card, which will be posted to you.
Please PRINT names of all FAMILY MEMBERS to appear on your Movie Club Card.
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Enclosed with this form is payment of $ .by
Signature: ...Date: |
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Capri Facilities / Seating plan / Brief history / Movie Club / Brochure |
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Print this page, cut off the above form, and post, with details and payment, to:
Capri Theatre Movie Club P.O. Box 307 GOODWOOD SA 5034
Telephone enquiries: (08) 8272 1177 |
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Name on card: .. |
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Expiry Date |
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Type of credit card |
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Visa |
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Bankcard |
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Mastercard |
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Cheque |
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Money Order |
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Credit Card |
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SPECIAL EVENTS MAILING LISTS
Please put me on the following mailing lists & provide me with information about : |
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Theatre Organ Concerts |
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Nostalgia Movie Nights |
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Capri Live Productions |
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TYPE OF MOVIE CLUB MEMBERSHIP |
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Single |
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$20.00 |
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Couple |
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$35.00 |
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Family [up to two children] |
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$50.00 |
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Extra child under 16yrs |
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$5.00 |
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