The Curzon Community Cinema, est. 1912
Mailing List Application Form
Please complete, print and sign this form, and send it with your payment to:
The Curzon Community Cinema, 46 Old Church Road, Clevedon, North Somerset, BS21 6NN

I would like to receive the CURZON programme by post and enclose a cheque or postal order for £3.50 for one year's mailing.

Name:

Address:




Postcode:
Email:

Date: