Nassau County Camera Club
If you wish to join our club, please fill out our Membership Application.
New Member Application
September 2018 - June 2019
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Email *
Your answer
Emergency Contact: Name *
Your answer
Emergency Contact: Phone *
Your answer
Photographic Interests (check all that apply) *
Required
Would you like to receive ribbons/awards? *
Competition classes you would like to enter: *
Required
How did you hear about the Nassau County Camera Club? *
Your answer
Type of Membership *
Dues will be paid upon arrival at first meeting
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