Membership Test Please enable JavaScript in your browser to complete this form.PURCHASE OR RENEW MEMBERSHIPAre you a new member or a renewing member? *new memberrenewing memberWhat type of membership do you desire? *$40 - Individual$60 HouseholdGold SustainingType of Gold Sustaining membership: *$750 - Individual$1,100 - HouseholdDONATIONSIn support of the Film Society's efforts, please add an additional donation of: for Cinema Art Theater general operating expensesto the Fierberg Student Award for recognition of a student film director.to the Glenn Bowman Fund for community outreach film initiatives.BE A VOLUNTEERPlease contact me about volunteering, I am interested: *yesnoThe best way to reach me is by:phoneemailVolunteering options:FestivalClerical SupportCinema Art TheaterGardeningMaintenanceKEEP IN TOUCHSend me the Weekly Email Update: *yesnoPlease send me the program material selected to the following email address: *email address belowsecond email address belowother email addressOther Email Address *PAYMENTSection A: Personal InformationIs this purchase a gift?yesnoName *FirstLastGender *MaleFemaleEmail Address *Phone *Street Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTotal Purchase$ 0.00Credit Card *Card NumberMM123456789101112Expiration/YY2122232425262728293031Security CodeSubmit
