Please Print this Membership Form and Bring into our Next Meeting with your membership fee. Check out our Calendar of Events page  for Meeting Dates.

  Whaling City Camera Club                     Valerie M. Almeida, President

Bernadette Costa, Vice- President

         Lenny Aguiar, Treasurer

Marilyn Urquhart,Secretary

REGISTRATION FORM 2009-2010

Membership Fee Payable to: Whaling City Camera Club

 $25 Individual

 $35 Same Household

 $15 Full Time Student under 24 years – Member under 19  MUST be accompanied by parent/legal guardian  to all meetings and outings/activities without EXCEPTION.

Parent’s /Legal Guardian’s Signature:____________________________________________________

                                          Please Print Clearly

Name: ____________________________________ D.O.B. ____________

Address:__________________________________________________________

Telephone #________________________________

Email:_________________________________________________________

Shooting Genre:  _______digital  _______film  _______ slides

Level of Skill: ____________ beginner _______ intermediate ____ advanced

Camera Equipment you shoot with: ____________________________________

Equipment you’re interested in purchasing in the future:

How did you hear about our camera club?

Signature                                                                       Date