FVFS Affiliation - For stand-alone NPV Cinemas only - V10

This form is for stand-alone NPV Cinemas only.

For Affiliating a Film Society or an NPV Film Festival use another form. Select --- Other forms.

(The FVFS Membership year is 1st January to 31st December).

A red asterisk indicates a compulsory field.

NOTE: DO NOT USE the "ENTER" Key at any time (except in the multi-line fields), as this will be interpreted as a "CONTINUE" button.

You must select REVIEW and SUBMIT at the foot of this form when you are ready to forward the completed form to the FVFS. A copy will also be sent to you at the email address given in question 4.

IF YOU HAVE ANY QUESTIONS PLEASE CONTACT US or Email admin@fvfs.org.au .

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1. Official Name of the NPV Cinema as listed with the FVFS

Must be your officially recognised name, as per your Constitution or Rules.
2. Your Name

Name of person completing the form and endorsing the accuracy of the information in this form
3. Your official position in the organisation

You must have the authority to speak on behalf of the organisation.
4. Your email address

Conformation of your application will be sent here. If it does not arrive check your spam folder.
5. Does the NPV Cinema operate under the rules of a "Parent Organisation"?

5. Does the NPV Cinema operate under the rules of a "Parent Organisation"? Yes No

For example an Arts Council or Hall committee etc?
5A Name of the "Parent Organisation"
6. Is this a new application or renewal of membership? Please select.

6. Is this a new application or renewal of membership? Please select. Renewal of existing membership A new application
6A. In which quarter do you want the Affiliation to commence?

6A. In which quarter do you want the Affiliation to commence? Jan, Feb and Mar. April, May and Jun. Jul, Aug and Sep Oct, Nov and Dec

The affiliation fee will be reduced by 25% and 50% respectively for new affiliations in the second and third quarters.
A new affiliation in quarter 4 will be given 15 months for the price of 12.
Pro-rata does not apply to Film Festivals.
Congratulations - You qualify for a 25% discount. This has been applied to the fee.

Congratulations - You qualify for a 25% discount. This has been applied to the fee.
Congratulations - You qualify for a 50% discount. This has been applied to the fee.

Congratulations - You qualify for a 50% discount. This has been applied to the fee.
Congratulations - Your affiliation will cover you for the next 15 months for no extra fee.

Congratulations - Your affiliation will cover you for the next 15 months for no extra fee.
7. Have you supplied a copy of your aims and Rules?

7. Have you supplied a copy of your aims and Rules? Yes No

A new application must be accompanied by the Rules or Constitution of the Organisation. If Incorporated using Model Rules, supply just Items 1 - 3 of those rules.
Send to admin@fvfs.org.au or FVFS c/o 17 Bruce St Mitcham Vic 3132.
7'. Have you supplied a copy of your aims and Rules and those of your parent organisation?

7'. Have you supplied a copy of your aims and Rules and those of your parent organisation? Yes No

A new application must be accompanied by the Rules or Constitution of both Organisations. If Incorporated using Model Rules, supply just Items 1 - 3 of those rules.
Send to admin@fvfs.org.au or FVFS c/o 17 Bruce St Mitcham Vic 3132.
7''. Have your aims and Rules changed since providing us with a copy?

7''. Have your aims and Rules changed since providing us with a copy? Yes No

We need the last version of your aims and Rules . If Incorporated using Model Rules, supply just Items 1 - 3 of those rules.
Send to admin@fvfs.org.au or FVFS c/o 17 Bruce St Mitcham Vic 3132.
8. Average attendance at screenings. (ie per screening)

If a new application, use anticipated numbers.

If an NPV Cinema and an NPV film festival, add the averages.
This figure is used to determine the appropriate fee.
9. Total number of screenings in the NPV cinema per year
10. What formats do you use in the NPV cinema?

10. What formats do you use in the NPV cinema? 16mm 35mm DVD BluRay 4K Ultra HD DCP Other Other
11. On which day/s of the week/month does the cinema screen?
12. Screening location, including suburb/town.
13. Please select the type of your screening location.

13. Please select the type of your screening location. Private home. Mechanics Institute hall Other public hall or meeting room. Commercial Cinema. Other Other
14. Is the NPV Cinema incorporated?

14. Is the NPV Cinema incorporated? Yes No Other Other

It is not mandatory to incorporate.
We ask simply for background information.
15. Would a social visit from a member of the FVFS visit be of value to you?
Names and Addresses of Office Bearers
16. Name of President
Email, AH Phone and Postal Address for President.
17. Name of Secretary
Email, AH Phone and Postal Address for Secretary.
17A. PREFERRED OFFICIAL CONTACT, if not the secretary.

We prefer that the secretary be your "official" contact for correspondence but realise that this is not always possible.
18. Name of Treasurer
Email, AH Phone and Postal Address for Treasurer.
19. Other email addresses for receiving ReelNews.
20. Do you want your organisation to be marked on our website as seeking new audiences?

20. Do you want your organisation to be marked on our website as seeking new audiences? Yes No
21. Your organisation's details are listed at FVFS.org.au/members (click to open new window). Can you please confirm this listing is correct?

21. Your organisation's details are listed at FVFS.org.au/members (click to open new window). Can you please confirm this listing is correct? Yes it is correct No, it needs updating
21'. If not, please provide the correct details here.
Also, please include your web address.

We will assume your secretary is your preferred public contact on our website unless advised otherwise.
21A. Your organisation's details will be listed at FVFS.org.au/members (click to open new window). Can you please confirm we should show your secretary as contact?

21A. Your organisation's details will be listed at FVFS.org.au/members (click to open new window). Can you please confirm we should show your secretary as contact? Yes No
21A'. Please provide the details that the FVFS website should display for your NPV Cinema, including contact details and website.

We will assume your secretary is your preferred public contact on our website unless advised otherwise.
22. Name of your Delegate to the FVFS
Delegates

Your delegates is your representatives at the FVFSfor ReelNews, meetings, voting and general information. So claim your full entitlement - You must nominate someone.
Email, AH Phone and Address of Delegate
(if not provided above)
23. Any comments or questions for FVFS Admin?
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FVFS Affiliation - For stand-alone NPV Cinemas only - V10