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  • Membership Form

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    Ajay Kapoor
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    The document is a membership application form for the Habitat Film Club. It includes information such as the applicant's name, date of birth, profession, residential address, and payment details. The applicant agrees to abide by the club's rules and regulations, and acknowledges that membership may be cancelled without notice if these terms are not followed. Membership is valid for one year or three years, fees are non-refundable and non-transferable, and entry to screenings and activities is first come first serve based on space.

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    The document is a membership application form for the Habitat Film Club. It includes information such as the applicant's name, date of birth, profession, residential address, and payment details. The applicant agrees to abide by the club's rules and regulations, and acknowledges that membership may be cancelled without notice if these terms are not followed. Membership is valid for one year or three years, fees are non-refundable and non-transferable, and entry to screenings and activities is first come first serve based on space.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    37 views1 page

    Membership Form

    Uploaded by

    Ajay Kapoor
    The document is a membership application form for the Habitat Film Club. It includes information such as the applicant's name, date of birth, profession, residential address, and payment details. The applicant agrees to abide by the club's rules and regulations, and acknowledges that membership may be cancelled without notice if these terms are not followed. Membership is valid for one year or three years, fees are non-refundable and non-transferable, and entry to screenings and activities is first come first serve based on space.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    S. No.

    HFC

    I hereby apply for the membership and agree that I will abide by the prevailing rules & regulations of the Habitat Film Club. (The current terms are printed below). In the event of my failure to do so, my/our membership may be cancelled immediately without intimation. I am enclosing 2 stamp size photographs each for all the mentioned family

    MEMBERSHIP APPLICATION FORM


    Please fill in this Application Form and submit / mail it to the Programme Desk, Convention Centre Lobby, Habitat World at India Habitat Centre, along with 2 colour stamp size photographs (per applicant) and your payment details. I.H.C. Membership No*:___________________________(If applicable) Family Name:_______________________________________________

    members and also enclosed is cheque no.__________________________ for Rs.______________________, dated________________ drawn in favour of Habitat Film Club.

    SIGNATURE OF ALL APPLICANTS

    1.______________________________2.________________________
    Terms & Conditions:

    First Name Self Spouse's Student ____________ ____________ ____________

    Date Of Birth ____________ ____________ ____________

    Profession ____________ ____________ ____________

    1. 2. 3. 4.

    The management reserves the right to refuse any application for membership to Habitat Film Club without assigning any reason. The membership to Habitat Film Club does not entitle Film Club Members any IHC Member facility. The membership is valid for a period of one year (12 calendar months) / three years (36 calendar months) from the month of enrollment. Membership fee cannot be refunded and is not transferable. Members are not allowed to bring guests along with them for any screenings or any other Habitat Film Club activities unless guests too apply for membership. Entry to film shows and film related activities are on a first come first serve basis, as per designated area. The activities are subject to change/cancellation. Programme schedules should be re-confirmed by calling the Programme Desk in advance. Members will have to abide by the various terms & conditions as set by the Habitat Film Club management from time to time. Habitat Film Club membership does not entitle members entry to film screenings organised privately by individuals and organisations. Special entry to these, if any, will be communicated on an event to event basis.

    for: IHC members* for: Non-members

    400 Single Rs. 750 Single Rs.

    600 Double Rs. 1000 Double Rs.

    5.

    Students (over 18)** @ Rs. 300 each cards valid for 1 year Send me cards valid for 3 years Send me (3 Years Membership For Only 2 Years Fee)
    Total Amount

    6. 7. 8. 9.

    Residential or correspondence address for the entire family ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Tel. No.:___________________________Fax:______________________ E-mail:___________________Alternate E-mail:____________________ Please note - Entry to Film Club screenings will be on presentation of your membership card ONLY. *IHC members are requested to attach a photocopy of their IHC Membership Card/Citibank IHC Card alongwith the Application Form. **Students are requested to attach a copy of their Student ID Card alongwith the Application Form.

    10. Terms & Conditions are subject to change without any prior notice.

    FOR OFFICE USE ONLY


    HABITAT FILM CLUB MEMBERSHIP NO:____________________ NAME:______________________________________________________ ____________________________________________AGE:____________ VALID FROM:____________________UPTO:_____________________ RECEIPT NO:________________________________________________

    ACKNOWLEDGEMENT

    S.No. HFC

    Received with thanks from Mr./Ms.______________________________ application for Habitat Film Club Membership for self spouse cheque no._______________________dated__________ student vide drawn on__________for Rs.___________.
    Authorised Signatory

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