The Winston-Salem Cinema Society www.cinemasociety.org wscinemasociety@yahoo.com
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Winston-Salem Cinema Society 2002 Membership Order Form
Join or renew your membership in the Winston-Salem Cinema Society today for a season of superlative motion picture entertainment! Memberships are issued individually and are non-transferable, so order a membership card for each filmgoer in your household!
The Winston-Salem Cinema Society, Inc. P.O. Box 15340 Winston-Salem, NC 27113-0340 (336) 722-8269	# of Cards Membership Category _____ Adult $ 25 ea. _____ Student (w/valid ID) $ 15 ea. Total Enclosed $_____________
Name(s):________________________________________________________________________ Address:________________________________________________________________________ City:____________________________________________ State:_________ Zip:_____________ Home phone ___________________ Work phone _________________________ e-mail (for announcements & updates) ________________________________________________ ____ My payment is enclosed (make checks payable to The Winston-Salem Cinema Society) ____ Charge my _______Visa _______MasterCard Card number:__________________________ expiration date: ________________ Name as it appears on card: _________________________________________________ Signature: ________________________________________________________________ _______ I am interested in volunteering for the WSCS Board. _______ I do not wish to become a member now, but please put/keep me on the WSCS e-mail list.