NEW ENGLAND SHUTTERBUGS







      Helping you improve your image

Membership Form




New England Shutterbugs

2018 -2019

Membership Application


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 payable to:   Donna Miller

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

Experience Level:  Class B/Beginners [  ]   Class A/Intermediate [  ]  Masters/Advanced [  ]

Camera You Use:   Canon [  ]  Fuji [  ]  Nikon [  ]  Olympus  [  ]  Pentax [  ]   Sony [  ]  Other [  ]

Software Used To Process Images:  Corel  [  ]  Elements [  ]  Photoshop [  ]  Other [  ]

Favorite Subjects You Like To Photograph: _____________________________________

Please Note:

When there is a need to cancel a meeting due to inclement weather members will be informed via an e-mail.  IIf you want to be notified by another means please fill in the contact information below.

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: __________________


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