Eastman Visit Registration Form

Registration Form for Fall/Winter Series 2007- 2008

Name (1) ________________________

Name (2) ________________________

Address _________________________________________________

________________________________________________________

City Province / State _______ Postal Code / Zip Code _____________

Home ( _______ ) _______ - __________

Cell ( _______ ) _______ - __________

Work ( _______ ) _______ - __________

Email: ____________________@______________ . _______

Payment is enclosed for Sunday Buff Series for _______ Person(s) @ $85 per person Total $___________

Payment is enclosed for Monday Buff Series for _______ Person(s) @ $90 per person Total $___________

Enclosed is my Cheque / Money Order Payable to Toronto Film Society (Please No Post Dated Cheques)

PRINT ABOVE FORM AND MAIL TO:

Mail to:

Caren Feldman
42 Edinburgh Drive
Toronto, ON, Canada
M3H 1B4

Film Buff Series Inquiries: Caren Feldman (416) 636-6767 or caren@rogers.com