Extended Renewal Form 1Options2Review and Pay It's great to have you back! Thanks for choosing to renew your membership. We have the details needed for your renewal. Just choose which type of membership you want on the form below. Then select NEXT to review and pay.HiddenEmail HiddenName First Last HiddenMembership Type HiddenCARD HiddenMID HiddenExpiry Text HiddenNumber of Extra MonthsHiddenExtended Expiry Text HiddenNew Renewal Plus Text Full details of the membership options are described here Annual Membership(Required)Choose your option $220 Double Membership $120 Single Membership $110 Discounted Membership $50 Youth Membership $40 Three Film Sampler These are the details we have of the second person. Just leave as is if OK, or edit if there are any changes.Name for 2nd membership card First Last 2nd Email address Enter Email Confirm Email Donation amountEvery donation helps us secure great films to screen for you. The Wellington Film Society is a registered charitable entity under the Charities Act 2005 and has donee status approved by Inland Revenue Total Payment Thanks {Name:88.3}, You have selected the {:23} option which will have a renewal date of {New Renewal Plus Text:81}. Your card will be available for picking up at our next screening. And thank you so much for your donation of ${Donation:44} to the Wellington Film Society. Any Comments to accompany your paymentPlease enter them here Please check the box below to accept our Terms & Conditions, then select Pay Now. This will transfer you to a secure payment gateway where you can pay the total of {Total Payment:4} by Visa or MasterCard.(Required) I have read and agreed to the terms and conditions. HiddenMemberType HiddenExpiry Date MM slash DD slash YYYY
