Student Membership Renewal Form

Please provide the following information to renew your Student Membership. Once your renewal request is processed, we will send a payment request directly to your email address.

If you would prefer not to provide the required information via this tool, feel free to send it in an email to info@sagharborcinema.org, or provide in person at the box office.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Email Proof Name

Existing Member Account Number *

Upload Proof *

Click or drag a file to this area to upload.

Please upload a photo or scan of your valid student ID.

Submit