Ticket Order & Membership Form Title / Date / Time
TICKETS :
Quantity
Price
Totals: # of Tickets
SubTotal
$
CIneMA PARADISo: $6 FLIFF Members, $8 seniors & students, $10 general admission except “Special Screenings”
name ______________________________________________________________________________ Address _________________________________ City & zip: __________________________________ Telephone Day:_____________________ eve: _________________ Fax: _______________________ email: ________________________________________
❑ Check enclosed
❑ Please bill credit card #_______________________________________ exp. _________ Signature __________________________________ There are no exchanges or refunds. Call 954-760-9898 ext 111 and learn how your group can raise money selling FLIFF tickets! MEMBERSHIP CHECK ONE: (Add to $ total above) ❑ FLYFF $35 – Student 25 years or younger with valid ID: $35 non-Students 18-30 year old: $60 ❑ Production Assistant $ 85 ❑ Production Team (Couples) $135 ❑ Director $140 / Director Team $240
❑ Producer $270 / Producer Team $480 ❑ executive Producer $440 ❑ executive Producer Team $800 ❑ Superstar $750 / Superstar Team $1300 new member: ❑ yes Renewal: ❑ yes
Memberships fees are non-refundable. Badges must be presented at events for admission or benefits. Memberships are good for 365 days from date of processing. Mailing Address
1314 East Las Olas Blvd., #007 • Fort Lauderdale FL 33301 954.760.9099 fax • info@FLIFF.com
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