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St. Louis Camera Club
Membership Application
New Members and Renewals
St. Louis Camera Club membership dues
February 1, 2012 until June 30, 2012:
Individual Membership - $20.00Family Membership - $31.00
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Your First Name |
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Your Last/Family Name |
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Your Email Address |
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Your Phone Number |
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Address |
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City |
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State |
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Zip Code |
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Country |
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When you complete the membership form and click on submit, you will be taken to a PayPal page. You do not have to have a PayPal account to use PayPal. You only need a valid credit card (Amex, Discover, Master Card or Visa).
If you will be paying by some other method, please indicate in the box below.
Note: Unless your membership renewal is paid in full, your name will not be listed in the Yearbook.
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Is this a new membership or a membership renewal? |
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Is this a individual membership or a family membership? |
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Names of all new members, rejoining or renewing including family members if appropriate |
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Day and evening phone numbers for each member. |
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Email address(es) for each member. |
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Were you previously a member of the Club? If so, when? |
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Name(s) as you wish it on your club name tag. (New members and rejoiners only) |
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