NCC Membership Registration Form

Membership Registration

Click and complete the form below to join us.
Membership type

IndividualFamilyUnder 21
Date of Birth (Under 21 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?*

YesNo
Photographic Honours
eg LPSNZ, FIAPP
What are your photography interests? Select as many or as few as you like*

PortraitsAstrophotographyLandscapes/SeascapesSportsWeddingsDocumentaryEventsMacroNatural HistoryPhotojournalismStreet PhotographyUnderwaterAerial/droneOther
What is/are your main reason/s for joining the Nelson Camera Club?*

To improve my photography skillsTo meet like-minded peopleTo go on organised outingsTo improve my editing skillsTo get feedback on my imagesOther
Membership costs:

Individual: $55

Family: $80

Under 21: 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*
Please verify that you are human*
We look forward to getting to know you and your photography.

Thank you!
Should be Empty: