NEW ENGLAND SHUTTERBUGS







      Helping you improve your image

Membership Form





New England Shutterbugs

Membership Application 

2019 -2020

Name (Please Print): ___________________________________________________

Address:               ___________________________________________________

City/State/ZIP: ___________________________________________________

E-Mail Address: ___________________________________________________

Home Phone:                   ______________________ Cell Phone: __________________


Annual Membership Fee:  $45.00 for Individual   -   ($25.00 after January 1st)

                                        $60.00 for Family - ($40.00 after January 1st)


Payment Method                           Cash:  [      ]              Check:  [     ]

                                  
Please Make Check to  -   DONNA MILLER


Mailing Address:  
               
                                                  
Donna Miller
                                        
        65 Fire Lane Road #7
                                                  Lancaster, MA  01523

What's in your camera bag?

Camera you use:    Canon [    ]     Fuji [    ]      Nikon [    ]     Pentax [    ]    Sony [    ]    Other [    ]
Software Used:       Coral [     }    Elements [     ]   Photoshop [     ]   Others [    ]


Favorite Subjects To Photograph:  _________________________________________

Please Note:

If there is a need to cancel a meeting due to inclement weather members will be informed via an e-mail.  If you do not have an e-mail address or if you want to be notified by another means please fill in the contact information below.

Home Telephone Number:      ___________________________________________

Other (Please be specific):      ___________________________________________

I have read and agree to abide by the Constitution and By-Laws of the New England Shutterbugs.


Signed by:    ______________________________________    Date: _________________

Received by: _____________________________________     Date: _________________





2019 - 2020  Membership Application Form

Click To Download The Form

2019_-_2020_FORM. Print Version
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