Purchase Membership Rehoboth Beach Film Society Save my progress and resume later | Resume a previously saved form Resume Later In order to be able to resume this form later, please enter your email and choose a password. Your Email: A Password: Confirm Password: WHAT WOULD YOU LIKE TO PURCHASE? Type MembershipFestival PassMembership & Festival Pass To determine pricing for the Festival Pass, please answer the following questions: Are you a member? yesno How many passes would you like to purchase? onetwo PURCHASE OR RENEW MEMBERSHIP Are you a new member or a renewing member? new member renewing member What type of membership do you desire? $40 - Individual $60 Household Gold Sustaining Note: Household memberships must be two individuals currently residing at the same address Type of Gold Sustaining membership: $750 - Individual $1,100 - Household Festival Pass (Member Rates) Please select the level of pass you would like to purchase: Member Mini Pass (Member rate $10)Student (Member rate $10)Film Buff (Member rate $20)Screenwriter (Member rate $40)Producer (Member rate $90)Director (Member rate $200)None Second member Mini Pass (Member rate $10)Student (Member rate $10)Film Buff (Member rate $20)Screenwriter (Member rate $40)Producer (Member rate $90)Director (Member rate $200)NoneNote: Household membership required to purchase Pass for second member. Festival Pass (Non-Member Rates) Please select the level of pass you would like to purchase: Member Mini Pass (Member rate $10)Student (Member rate $20)Film Buff (Member rate $30)Screenwriter (Member rate $55)Producer (Member rate $125)Director (Member rate $260)None Second member Mini Pass (Member rate $10)Student (Member rate $20)Film Buff (Member rate $30)Screenwriter (Member rate $55)Producer (Member rate $125)Director (Member rate $260)NoneNote: Household membership required to purchase Pass for second member. DONATIONS In support of the Film Society's efforts, please add an additional donation of: for general operating purposes to fund the Cinema Art Theater venue. to the Lori Phillips Fund for educational film initiatives that promote social justice. to the Fierberg Student Award for recognition of a student film director. to the Glenn Bowman Fund for community outreach film initiatives. BE A VOLUNTEER Please contact me about volunteering, I am interested: yesno The best way to reach me is by: phoneemail Volunteering options: Please select... festival clerical support Cinema Art Theater gardening maintenance Hold Ctrl and click to select multiple options. KEEP IN TOUCH Please send me the program material selected below to the following email address: email address belowsecond email address belowother email address Other Email Address Send me the Weekly Update: yesno Send me the Met Opera Live in HD (Monthly): yesno PAYMENT Section A: Personal Information First Contact Information Is this purchase a gift? yesno First Name Last Name Gender malefemale Email Address Phone Second Contact Information First Name Last Name Gender malefemale Email Address Phone Street Address City State Please select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau Zip Code Total Purchase $ NOTE: Once you click submit, you will be redirected to a page that will allow you to make this purchase via PayPal. reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Save my progress and resume later | Resume a previously saved form Need assistance with this form?
