Membership form

I wish to join the London Socialist Film Co-op and enclose cheque/postal order for £10 (£8 unwaged, students, OAP's) payable to London Socialist Film Co-op. The fee includes an initial £2 for a member's shareholding. Existing shareholders wishing to renew their subscription pay £8/£6.

NAME

---

ADDRESS

---

ADDRESS

---

POSTCODE TELEPHONE

---

EMAIL

---

Membership: shareholding £2 [ _ ] annual subscription £8 [ _ ] £6 [ _ ]
Donation £_______ Total enclosed: £_______ Date ______/______/___

Please print and return this form to the:

Membership Secretary
LSFC
13 Foundling Court
Brunswick Centre
London WC1N 1QE

Telephone/Fax: 020-7278-5764