MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C81D7B.CB056350" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C81D7B.CB056350 Content-Location: file:///C:/D924CAAD/MembershipForm.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Backwell Playhouse Membership Form

Membership Applica= tion Form

MEMBERSHIP FEE: - Live Theatre only £5.00 per annum= . Live Theatre and Film Club £16 per annum (entry to films is free = to Film Club members but there are currently no vacancies—please tel. 01275 464259 to join the waiting list).

Name

Telephone

E-Mail<= /p>

Address=

Postcode

= ;

Please state a= ny voluntary help you would be prepared to undertake:

Such as Acting, Backstage, Coffe= e/Tea Bar, Box Office, Secretarial, Maintenance etc.

Please return th= is application duly completed with your subscription to:-

Peter Lamb 35 St= ation Road, Backwell, Bristol BS48 3NH

Return to HOME PAGE

------=_NextPart_01C81D7B.CB056350 Content-Location: file:///C:/D924CAAD/MembershipForm_files/image001.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhKQEtAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAEAAAAo AS0AgQAAAJkzZrKysgECAwL/jI8Iy+3qIoBy1pbMypolSVXBNV4eF5JmOmVP2pngMYdfLW+xiN6r z2O1Sr8bCsNy4SK0nK5HZO6QwGHztbs6n1puVsghVbFRZXB8MnOd1XHXmnwLxdBaNO2ex9BFNEwe ZvdGJVBoKJAgsDRUOJPWCLcAeXaIeFCp2FLZwjV50/iZ2VeJIBoJ4NlRanq5qVOoNPnzaGp1+HTL iVvbtIqjCIyqUDskOfxCFcDaQUwWrEjzvCGJqtuJVS0aXS1zDH2cRn3CYKnMbXs+TV2aLpbMe3m+ nRllmT0e3hwtawtPXm4Iyb9W9AzkopOLICtJoIiUU5YKYsSDdCQ2NDgxYDFU/wBlKcTwj5HGWQwJ EtK479tAix4aPORXLNi7iOREUnEZr6C5ZlhkxpTnEJpLgEBHjGzVzs49KxxpaYvxDSKhdFBxJZXy 72HTXU+NVtshFKXDfvCMwlylk2FMSFCj3krZTYNYs09rthXJVi7NkRUPon3CMW1Ak1zrivtIcith vIIb1rSgOChebD7xFLUrl1vVjWmvYrvsc8pmcD+7Lu1zml1nw8G2WV74uAlPgeJ+hgP9tYS22C6t lg0sBWPjqMB1DTYJt0jxyeqaMtMpEfBRvbPx+P2Y/Dnx6dGb56WrfCtj6d+BP/du7Xt38sR8bc/t lfjh87Krr526W229fBeXz//L4Z515aVS23/k6RDSfeEV1d0++eRWW2939UPZWdhRt5Z8A/bHVxDc HYVZguMllyGAiJG1XV5qlcheevxVV5+Aw7V4ngMqiffXg+39x2Nm8gFFTTkR0kEVMy2ts5908KXm o4lNXrMaPqZVlhNkwQ2J1WmMaGakku9FcOMyT7I4E1sMpRgmTMeBFxebcFW1GY0YttgmS52sWVyN JE4mGZ08nHkShxum+CeOJxo4UzutNWlkM1E6uVSMcEKBIYmIVsSkcAeCqSN+cXJmDTJaOqhgaeic 0UMjU1pIVy14HgcomGjC8QV4iYASEqWVzklmX9yxtKd+e67yaTR56Pbbq4P/kiUICtfFR0aQZ9zT ZXhd3WHqB/RIqNs90rw3pWfJZLoTYFdFNaZ0xarSRrW3PZotae96S6+fkVCEB10xKieWO4PxmSuy mGxiKa++qhfYrMEF20qfgHEw13JyurmrLzclPPBeERksEFJCivtuQYBe1FqG2DaqasoKm1qnqmtE DFMxHveEiChiGnTnpomWamAGHmkHXEDX1pFwlgoFeyWssXJlwT6jIQspdxJTsiZ1K5t7ohfmtPNX R1czm92cEK9qX75HSCtqabJBCuFjF9uzzRTGsTHmpdMu2qi5v3m58NZX4gZqtPAi6vPbW9DqLL5X pIR0hfaseBMsIzg9lnFl/xfMZh9nJ2RwrVNTyE9KklvE8NFid36rvfxm85BZWXppsbVT7KgbEQ27 7S6RUleGaiyGun4b34KzKu088uYs5F5FDqNh2eyREs9nwlCXo+5g6aOX7Rj1SSq/Gl+ukM3P+hdU 4+E7zl71z4edudaGNP4L1/JOGp834YFl/W2V29ZmplreTS8qVesK4Iof7QrkI/vN62Phoh3OGHg4 pOWoPskbnZ2O9DC/xWwX2jPK1sjWv91tsEzAwBeL7mK+ViVtUGgRU8LY97lbvWSE6CNDuQgYL6nw Ihk4Ew8O9qCBONlthQ10kg6jFqUCZqlDPEvgzPijsyGShXlM+AWrNCWpiv8pjod66V8PadBDEIIk ct8zogmJyBlB8URgaDRZ1t50uvaVaTEYjNxVVJNDaqXLSkJam3KgxQ4EPvABlMEN+Pa4hMEhcm6J 1JEC9QZJvp0sbnvcXwqF8zhloatDDgEjHa+kwxn+bj3N8RP8SIhEhaUQcmSc0RsrlqdK1eB9HLPk IvGYtx4Nso4f696fjhhIBvFuLJj7n1J4Z8Uo3lJEhpNkukjVPR7NcpMe6Y3q7sRAVx4KJ3JR38Jc 1kJnEAhJmTuljA5pnjh+jo/Yo5it6Ag0GP5LkLTUFC879c3pZcaZriklZ6qEKbyVS3BjJKf/kLkw Y/5NkdBK2xoHyCiAImj/Pt2SJO4yo62CgiZmLSQM+xpEzOx9kozwuaAXVISZcnLMDmdEHxy7uSO3 1ZB9fIlnxWx10TNNcH+9sg5HPDaMraUOh/VBiu4EWkIbQoSAK5OiOEG2KYsFtT3WXCE+c7Kaxtyr bazR5xfldk3mjS4wiRBqDwKmL6NaUUWKIxqXVCpHljIRjWjRlt8m6sNW0gkxE6or2CpqOcQx1Y4O 1CPOnGU2HAZOop9ZhkLPKsiDQpUpCG3sSYMYVHZV1bLCIw3+BEurMElJaxRIVuhEh7iceVVby4od VqbDysRickbX/OZcZ+qCW6lhNvLMSPOGhlmCOKivR+DkM6mIrl70M3Ey//Hj8QTyM5ly0Ue0ZRlq KktS993LDDCCaEP7MVizbbKkIhNkIiTmM+hoR731tEhyZ7tXtRKSfLFNrCvIZE5sHhKkxBJuCzco VnsFgpXpFR1kR3k+2QZCgDlZ29DI5RUv3FGmn7Jhvc7LXqgWbr/L84pq7PdQcGBYqZt92dyEslsL S0OwA74vYxBxJjFhIlWI04d0mRkcTJDWHIjtXTCb1cNXHMJq4WunbiGWY5UlWXIx9ml9i2wCoSn5 tlOLmZIr0CEqY+nGEijhbOaa1C2k7HAu681IwtwUGg7FUXlVi5ZZZzNFBa06Uu5yxgYWZb7c9ox4 jvGesew8F2flIH2+wEGdy6bjNZtCFi2VFaETbaNGDxrHcNayoM0cwMNhWQZs/lZNsOu8HHy5XpmO cqk5Teotc0rMpPb0plldYk2vugEFAAA7 ------=_NextPart_01C81D7B.CB056350 Content-Location: file:///C:/D924CAAD/MembershipForm_files/filelist.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C81D7B.CB056350--