ATALE DT

Ticket order & membership Form
Title / Date / Time Quantity Price SubTotal
TICkeTS :
Totals: # of Tickets $
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!
144
MeMBeRSHIP CHeCk oNe: (Add to $ total above)
❑ FLIFF $15 – Student 25 years or younger with valid ID
❑ Production Assistant $95
❑ Production Team (Couples) $60
❑ Director $160 / Director Team $275
❑ Executive Producer $495
❑ Executive Producer Team $895
❑ Superstar $825 / Superstar Team $1400
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