Doncaster Camera Club Membership Application

Doncaster Camera Club Membership Application

Doncaster Camera Club Inc. ICN A0012955D
Complete this form and and it will automatically be emailed to doncastercameraclub@gmail.com

Direct deposit the annual membership fee to: BSB: 033389 Account: 125370

For family memberships please complete one form per member. Your emergency contact should not be another member of the Doncaster Camera Club.

_______________________________________________________________________________________________

Please accept my application for membership of the Doncaster Camera Club (Association).
Select Membership Category

Individual $65Family $95Full Time Student $40 Includes School Children from secondary school age to 18 years. Tick this box for Associate member also - (membership to Special Interest Groups and subsequent Zoom meetings.
My Details

First NameSurname
Address

Street Address

Street Address Line 2

City/SuburbState

Postcode
Phone Number

Area CodePhone Number
Email
example@example.com
Date of Birth

DayMonthYear
Date
How did you learn about the Doncaster Camera Club?
My Emergency Contact details:
Name
Relationship to you
Phone

Area CodePhone Number
Email
example@example.com
I support the purposes of the Association and agree to comply with the rules of the Association. I consent to the disclosure of my name, address and contact details (only to club members) via the club membership list. I consent to the Club posting to the Club's social media sites any images I enter in Club competitions.
Type your full name here
Date

DayMonthYear

Office Use Only

Date

Treasurer:	Date subscription paid	_____________
Secretary:	Date & Details recorded - Nametag prepared	_____________
Newsletter Editor:	Add to mail list	_____________
President:	Membership approved at Committee Meeting	_____________
Secretary:	Return form to Secretary for filing:	_____________

Mail	Pam Rixon, Secretary DCC, PO Box 2043 Box Hill North VIC 3129
Email	doncastercameraclub@gmail.com
Phone	0408 808 870
Instagram	doncaster.camera.club
WEB	www.doncastercameraclub.org.au
Facebook	doncaster camera club – melbourne

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