Suffolk Digital Cinema Network

Application to Join the Network

Please complete the following:

Title: Mrs Mr Ms Miss Rev. Dr. Other

Your First Name:

Your Surname:

Position in Organisation:

Organisation:

Address1:

Address2:

Address3:

Town:

Postcode:

Contact Phone No:

Mobile:

Email:

Login Name Required:

Password you would like to use:

Confirm Password:

Please tick this box to confirm we may hold your information and show it to other Members:

(Please note that it is a condition of membership that we are allowed to hold your information and allow other members to see your telephone number and email address. The Network does not pass your information on to other parties)

Thank You - The Secretary will be in touch with you shortly