Whaling City Camera Club Membership Application by xumiaomaio

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									                        WHALING CITY CAMERA CLUB
            MEMBERSHIP APPLICATION 2011/2012 SEASON


MEMBERSHIP PLANS:


        •   Individual Membership* $25.00


        •   Household/Family Membership* $35.00


        •   Full-Time Student under 24 years* $15.00

*Under all circumstances any member under the age of 18 must be accompanied by
parent/guardian at any WCCC related meeting/outing/activity.

Please complete this form and return it with your payment for membership.


APPLICANT INFORMATION:

Name:



Date of birth:                    Cell Phone:                           Phone:



Current address:


City:                             State:                                ZIP Code:


Email address:


_________ Individual ($25.00)     _________ Household/Family ($35.00)   _________ Full-Time Student($15.00)



Please make check payable to: Whaling City Camera Club

								
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