SSCC Membership Form - Credit Card

Name*

First NameLast Name

Email*

example@example.com

New MembershipRenewal

Home Phone Number (optional)

Please enter a valid phone number.Format: (000) 000-0000.

Mobile Phone Number (optional)

Please enter a valid phone number.Format: (000) 000-0000.

Address (optional - used for club meeting location decisions)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

YesNo

Updated Email or blank if it stays the same.

example@example.com

Updated Home Phone Number or blank if it remains the same

Please enter a valid phone number.Format: (000) 000-0000.

Updated Mobile Phone Number or blank if it remains the same

Please enter a valid phone number.Format: (000) 000-0000.

Updated Address or blanks if it remains the same (used for club meeting location decisions)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

IndividualFamily (includes spouse or partner)

123

Name of 1st Additional Family Member (or Partner)*

First NameLast Name

Email of 1st Additional Family Member (or Partner)

example@example.com

Name of 2nd Additional Family Member*

First NameLast Name

Email of 2nd Additional Family Member

example@example.com

Name of 3rd Additional Family Member*

First NameLast Name

Email of 3rd Additional Family Member

example@example.com

Which other camera club(s) do you belong to? (optional)

YesNo

Are there any field trips you'd like to see offered? (optional)

YesNoMaybe

Would you be interested in presenting a talk on a photography-related subject? Describe your ideas here:

Would you like to see any particular training, coaching, and/or programs offered? Describe your ideas here:

My Products

Individual Membership - Full Year

Full year's dues when you join/renew. Covers the club year ending on June 30th.

$50.00

Family Membership - Full Year

Full year's family dues for all participating family members or partner. Covers the club year ending on the next June 30th.

$80.00

New Individual Membership - Partial Year

Partial year's dues when a NEW member joins between February 1 and June 29. Covers the club year ending on June 30th.

$35.00

New Family Membership - Partial Year

Partial year's family dues for all participating family members or partner when a NEW member joins between February 1 and June 29. Covers the club year ending on June 30th.

$55.00

Contribute to the Community Service Fund

The purpose of the George DeBuchananne Community Service Project Fund is to financially support a photography project that advances a community-related cause. A project may be proposed by a Club member, by another photographer sponsored by a Club member, or by a community organization sponsored by a Club member.

$1.00 Enter whole number of dollars. Will be added to the total. $

Contribution to SSCC

You may contribute to SSCC's operating budget here. Thanks!!!

$1.00 Enter whole number of dollars. Will be added to the total. $

Total

$0.00

Credit Card