CCC Membership Application Form
Name
*
Mr
Mrs
Miss
Ms
Other
Prefix
First Name
Last Name
Email
*
Will be used for club communications
Membership Type
*
Please Select
Standard Single - £56
Concessionary Single - £49
Double Standard - £92
Double Concessionary - £72
Associate - £22
Student - £22
Select Your Membership Type
Telephone Number
*
Please enter a valid phone number.
Format: 00000 000000.
Add your Contact Number to Club WhatsApp Groups? - CCC Chat and CCC Outings.
*
Yes
No
Address
*
Street Address
Street Address Line 2
Town/City
County
Postcode
Date of Birth
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
DOB is Optional
Photographic Honours
Photographic Awards (e.g. LRPS, ARPS etc)
Photographic Interests/Genres
Optional field for photographic interests (e.g. Landscape, Nature, Travel etc).
Specialist Expertise
Optional field for Areas of expertise (e.g. Photoshop, Web Design,. Printing, Landscape etc). Helps transfer of information between members
Where Did You Learn About CCC?
Optional field. Please tell us how you found out about the club. e.g. Website, Google, Exhibition, Event etc
Submit
Should be Empty: