Camera Cinema Club Punch Card
2010-2011 Program



Print out the form below, fill out and mail to:
Camera Cinema Club
P.O.Box 720728
San Jose, CA 95172-0728


Camera Cinema Club Punch Card
2010-2011 Program



Name ______________________________________ E-Mail _________________

Address ____________________________________________________________

City/State ___________________________________________ Zip _________

Phone: Day _______________ Eve _________________ Fax _______________

Location Choice (check one):  _____ Camera 7 at 10:30 AM
                              _____ Camera 12 at 2 PM
All Screenings on Sundays:
In 2010--Oct 17, Nov 21
In 2011--Jan 16, Feb 13, Mar 20, Apr 17, May 15, Jun 12, Jul 17, Aug 21 

4 Event Punch Card:    #  Cards ________    X  $80   =  $ __________

Total Fee Paid  _______________


Check # ___________________  Cash __________________

Credit Card # __________________________________ MC _____ VISA _____ 

Signature ___________________________________ Expires ______________

The Camera 12 is at 201 S. Second Street in downtown San Jose; the Camera 7 is in the Pruneyard Shopping Center, 1875 S. Bascom Ave., Campbell.

For more details, call (408) 871-7774. E-mail form to Club director Tim Sika at celluloiddreams@earthlink.net, or mail to Camera Cinema Club, P.O. Box 720728, San Jose, CA 95172-0728.