Complete the form below.Write NO MORE THAN ONE WORD OR A NUMBER for each answer

LOUISE Oh hello, I’d like to join the video library.
MR MAX OK. Would you like to fill in the application form now?
LOUISE Yes, I can do it now.
MR MAX Hold on and I’ll get a form. Now, I’ll just ask you a few questions and then I’ll get you to sign at the bottom.
LOUISE Right.
MR MAX What’s your full name?
LOUISE Louise Cynthia Jones.
MR MAX Jones?
LOUISE Yes, that’s right.
Repeat
MR MAX OK, and what’s your address?
LOUISE Apartment 1, 72 Black Street, Highbridge.
MR MAX Black Street, that’s just around the corner, isn’t it?
LOUISE Yes.
MR MAX OK, so the post code is 2085, right?
LOUISE Yes, 2085.
MR MAX Mm. And your telephone number? I need both home and work.
LOUISE Home is 9835 6712 and work is 9456 1309. Do you need any ID or anything like that?
MR MAX Yes, we need your driver’s licence number, that is if you have one.
LOUISE Yes, I know if off by heart, it’s an easy one, 2020BD. Do you need to see it?
MR MAX Yes, I’m afraid I do.
LOUISE Mm... here.
MR MAX Right, thanks. And could you tell me your date of birth please?
LOUISE 25 July 1977.
MR MAX That’s the most important part out of the way, but could I just ask you a few questions for a survey we’re conducting?
LOUISE OK.
MR MAX What kind of videos do you prefer to watch? Have a look at this list.
LOUISE Well, I love anything that makes me laugh. I just love to hear jokes and funny punch lines. I’m not very keen on westerns, although my father likes them, but I’m a real softie, so anything with a bit of a love story is good for me. It doesn’t matter how old. Not musicals though, they’re too much!
MR MAX Anything else?
LOUISE I’m completely taken by documentaries of the great outdoors, you know the sort, animals, plants and faraway places. I saw wonderful one on dolphins last week. It was amazing.
MR MAX Now, I think that’s all from me, except I need you to sign here on the line. Here’s a pen. Oh, and I nearly forgot, the membership fee. $ 25, refundable if you leave the library for any reason.
LOUISE There you are. And do I sign here?
MR MAX Yes, that’s it. You can borrow videos now, if you like, but your card won’t be ready until next week. You can come and pick it up when you bring your first videos back. That is if you want to take some now.
LOUISE Yes, I’d like to. I’ll have a look around.
MR MAX Fine.