Bowen Island Film Society
E-1, Bowen Island, BC, V0N 1G0604-947-0450
www.bowenfilm.com

Membership Application Form

Date:    _____________________________________

Name(s): ____________________________________

                     _____________________________________________

E-mail:      __________________________________

Mailing Address:  _____________________________

Telephone No.:     ____________________________

• Annual Membership Types: (please check one)
• Individual Membership    $15
• Family Membership        $25
• Supporting Member        $50
• Corporate Sponsor        $100
• Silver Screen Sponsor    $500

(Renewal or New Membership? – circle one)

Cheques payable to Bowen Island Film Society