DUES AND MEMBERSHIP APPLICATION

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Dues are $20.00 per year for individuals and $30.00 pr year for a family.

The form below may be printed and sent to the club's address above along with your dues check or you may present it to our treasurer at the next meeting.


Membership Application                                                                     Date:  _____________________

 

Name: ____________________________________________________________________________________  

(If family, enter all first names)

Address:  __________________________________________________________________________________

City:  _______________________________________________ State:  ________ ZIP: ____________________

Phone:  ___________________________________ E-mail:  _________________________________________

Photography experience:  No. Years _____________                Number of pictures taken yearly:  ___________

Major categories of Pictures Taken:  ____ Landscape; ____Wildlife;  ____Portrait;  ____Macro;  ____B&W

    Other (describe):  __________________________________________________________________________

Camera type (check all appropriate):  ____Film; ____Digital; ____Point and Shoot; ____35mm; 

    ____Medium Format; ____Large Format; Other:  _________________________________________________

Type of Processing (check all appropriate):  ____Process in Darkroom;   ____Store Processed; 

    ____Scan Prints into Computer; ____Scan Slides into Computer

Committees (check those you would be interested in serving on):  ____Membership;   ____Programming; 

    ____Hospitality; ____Website; ____Field Trips; ____Exhibitions; ____Newsletter

Mentoring:  ___I would like to be a mentor in the area of:  __________________________________________

   ___ I would like a mentor in the area of:  ________________________________________________________

What program subjects would you like?  _______________________________________________________

 __________________________________________________________________________________________

 What would you like from the Club? __________________________________________________________

 __________________________________________________________________________________________

Dues are $20/year for first person in household and $10/year for additional members:

Date dues paid: ______________ Amount paid:  _______________  Cash:  _____     or Check # ____________

Received by:  __________________________________                                                        

 


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