BEFORE COMPLETING THIS FORM, PLEASE ENSURE YOU HAVE PAID THE ANNUAL SOCIETY MEMBERSHIP FEE. PLEASE NOTE | OUR RENEWAL PERIOD FOR MEMBERSHIP IS OCTOBER EACH YEAR:

ACCOUNT NAME: Top of the South Film Productions Inc.
ACCOUNT NUMBER: 38-9017-0312087-00
BANK: Kiwibank
AMOUNT: $20.00 including GST
PARTICULARS: Society
REFERENCE: Full Name (Surname if not enough characters)