Print and mail the form below to join or renew via mail.
I'd like to join the Bryn Mawr Film Institute. I understand the membership is good for one year from date of issue.
Name _____________________________________________________________________________________________
Street _____________________________________________________________________________________________
Apt. _________________City _______________________________ State ________ Zip Code ______________________
Phone _________________________ Email _____________________________________________________________
Membership Level______________________School Affiliation (Student Membership)______________________________
$____________Membership Fee
$____________Additional donation to Bryn Mawr Film Institute
$____________Total Amount Enclosed
___ My check, payable to "Bryn Mawr Film Institute" is enclosed.
Please charge my: __MasterCard __Visa __American Express
Credit Card No. ________________________________________Expiration Date ________________________________
Signature_____________________________________________Billing Zip Code________________________________
.......................................................................................................................................................Necessary for credit card authorization Please mail your completed application and payment to: Bryn Mawr Film Institute, P.O. Box 1058, Bryn Mawr, PA 19010.
Your membership card will be mailed to you.
Main Line Health
Bryn Mawr Hospital
Bryn Mawr Hospital is a proud
membership supporter of the
Bryn Mawr Film Institute.
We share a vision of a vibrant
and healthy community. |