|
Name
|
|
|
Address
|
|
|
City
|
State
Zip
|
|
Phone
Cell/work
|
----------------
|
|
Email
|
|
|
Preferred
method
of
contact
(we
will
mostly
use
email)
|
|
|
|
I
would
like
to
receive
the
following
from
Cinema
Epicuria
(I
also
understand
that
Cinema
Epicuria
will
not
share
my
information
with
any
other
party):
|
|
|
|
I
would
also
like
more
information
about
(please
check all
that
apply):
|
|
How
Can I
Make a
Tax-Deductible
Donation
to the
Sonoma
Valley
Film
Society
|
|
Volunteer
Opportunities
|
|
Hosting
a
Visiting
Filmmaker
|
|
Being
an
Epicuria
Partner
|
|
Sponsorship
Opportunities
|
|
Submitting
a Film
|
|
Youth
Programs
|
|
Other
|
|
|
|
Which
other
members
of
your
household
would
also
like
to
become
Members
of our
Cinema
Epicuria
community?
Please
add
their
names
and
specific
phone
numbers
and
email
addresses
below.
We
will
list
you as
the
Primary
Contact
for
your
household
or
company
and
send
all
physical
mail
to the
mailing
address
listed
above
(unless
you
tell
us
otherwise).
Your
family
members
will
be
added
to our
e-mailing
list.
Thank
you!
|
|
|
|
1st
additional
member
|
|
Name
|
|
Phone
Cell/work
|
|
Email
address
|
|
Preferred
method
of
contact
|
|
|
|
2nd
additional
member
|
|
Name
|
|
Phone
Cell/work
|
|
Email
address
|
|
Preferred
method
of
contact
|
|
|
|
3rd
additional
member
|
|
Name
|
|
Phone
Cell/work
|
|
Email
address
|
|
Preferred
method
of
contact
|
|
|
|
|
