Application for Membership
 

Name:__________________________________________________________________________

Address:________________________________________________________________________

             _________________________________________________________________________

Email Address:___________________________________________________________________

Telephone:______________________________________________________________________

I would describe my photographic abilities as:

Novice   /   Intermediate   /   Advanced

Annual subscription fee is enclosed:

Full membership:               $50.00
Partner/Spouse:                 $35.00
Student/Unwaged:             $35.00
Associate:                         $15.00
(A discount of $5.00 applies to all subs paid on or before the last club night in February)

I agree to abide by the rules of the Hutt Camera Club.
 

Signature:______________________________________________

Date:__________________________________________________