Application Form
* Required

Please fill in your name as it appears on your identification document. broadway cinematheque reserves the right to verify a member's identity.

A Complimentary ticket and 100 Cine-points will be awarded to you in your birthday month within membership period. Leaving this field blank forfeits these benefit.

To avoid email delivery failure from YAHOO and HOTMAIL mail system, you are advised to provide another email address for better communication.

(6 – 10 alphabetic or numeric characters)

(6 – 10 alphabetic or numeric characters)