NCC Membership Registration Form

Membership Registration

Click and complete the form below to join us.
Membership type
Date of Birth (Under 18 membership only)

DayMonthYear
Date
If this is a family membership please complete a separate form for each person.
Name

First NameLast Name
E-mail
example@example.co.nz
Preferred phone number

PrefixPhone Number
Address:

Street Address

Suburb

TownRegion

Post CodeCountry
Are you a financial member of PSNZ?
Photographic Honours
eg LPSNZ, FIAPP
What are your photography interests? Select as many or as few as you like

Other
What is/are your main reason/s for joining the Nelson Camera Club?

Other
Membership costs:

Individual: $60

Family: $90

Under 18: Free

If you are a financial member of PSNZ, a $5 discount applies.

If paying by direct credit/internet banking please use your name as a reference.

Nelson Camera Club bank account Number (NBS) 031354 0254627 00
How did you hear about the Nelson Camera Club
Permissions (Select to agree)
Please verify that you are human
We look forward to getting to know you and your photography.

Thank you!
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