Buller Camera Club Membership Registration Form

Buller Camera Club Membership Form

Please complete the form below to join the Buller Camera Club
Name*

First NameLast Name
Email*

Confirmation Email
Home phone:

Area CodePhone Number
Mobile phone:

Area CodePhone Number
Honours
eg. LPSNZ, APSNZ, EFIAP etc
Are you a Facebook user?

YesNo
What are your photography interests? You can tick as many as you like.

Landscapes/seascapesPortraitsNature/Natural historySportsAstrophotographyPhoto journalismEventsMacroStreet photographyCreative photographyOther
What camera makes and models do you regularly use?
What digital post processing software do you use?
Do you have any skills that you would like to share with other club members?
Why do you want to join Buller Camera Club?
Subscription Fee*

Individual $45 ($40 for PSNZ members)Family $70Additional family member (covered under Family sub) $0Junior (under 21 years) (full year) $25
Once you submit your application, your membership fee can be paid to the Treasurer on club nights or via internet banking. If internet banking, please remember to use your name as a reference.

Account details:

Buller Camera Club Acct: 12-3178-0036485-02
Should be Empty:

Buller Camera Club Membership Form