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Cinema Art Bethesda


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Membership Form
(Please print and mail this form)

Name: __________________________________________________________
Address: _________________________________________________________
City: _______________________ State:_____________ Zip code:__________
Email address *: _________________________
Telephone – Evening: _________________ Daytime: ___________________
See all ten trend-setting films for $125.
Number of seats _______ x $125 = $_______
I want to make a tax-deductible contribution of $__________

Please mail your check (made out to Cinema Art Bethesda) to:
Cinema Art Bethesda
Attn: Neil Goldstein, Treasurer
7500 Woodmont Ave. #715
Bethesda, MD 20814
Tickets will be mailed to you.
Questions? Send an email to or call Neil Goldstein at

Films are subject to change.

* Please be sure to provide your email address. It will permit us to notify you of upcoming films,
weather cancellations and other matters of importance to you. Out of respect for your privacy, we
will not share your email address with others.

Cinema Art Bethesda is a non-profit organization. Your tax-deductible 501(c) 3
contribution will help us continue to bring you high quality films.