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Membership Application Form

Annual Membership Fee is $125 per person – which includes a $50 Voucher to be used for food or drinks at Baringo Food  & Wine Co.

Tick your preferred payment option:

 

BSB: 633 000    Account Number: 162 277 040

Please include your full name to identify your payment.

Thank you for your application!

If you wish to complete another membership, fill out the form again with new details and submit.

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If you would prefer to download and print the Membership Application Form click on button below

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MEMBERSHIP 

      MEMBERSHIP  for  2024 is  NOW FULL.                  Annual fee $125 pa.   

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To join the Baringo Film Club and  to make sure we include you on our fortnightly Emailing List :  

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Please complete and Submit the online application form to confirm your Name, Email-address and Telephone Number.

Payment options are either by direct debit to Baringo Film Club or pay in person at a Bendigo Bank Branch.

Your food and wine vouchers will be available at the theatre once our records have been updated.

 

If you are unable to complete this form online, you may download the 2nd form below, fill it out and

 

post to          24 Stern Way, New Gisborne 3438.


Any other enquiries to Bruce on 5428 3810 or 0409 517 815

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