North Bethesda Camera Club - Membership Application (2021 - 2022)
- Current members must submit a completed application and have dues paid in full by June 15, 2021 to ensure membership renewal.  After June 15, membership will be offered to those on the wait list.

- Emeritus members must submit completed applications only.  

- Dues for this program year are $60 per member; they have been reduced in response to our lowered expenses due to COVID-19.  Please use the link at the end of this application to make your payment (renewing and new members).

- Fill out one form per member.  You can review and edit your responses when done by clicking "Edit your responses".  If you save the URL you can return and update your information if needed.
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Type of Membership *
First Name *
Last Name *
Email address *
Street address (including apt. number) *
City *
State (two letter abbreviation) *
Zip *
Primary Phone Number (please use the format xxx-xxx-xxxx) *
Type of Phone (Primary) *
Secondary Phone Number (please use the format xxx-xxx-xxxx)
Type of Phone (Secondary)
Please check all that apply *
Yes
No
I am a member of PSA
I am willing to make a presentation at a workshop or program
I am willing to facilitate or coordinate a small group for the Education Committe
I am willing to serve on a committee (currently are/would like to)
I am a member of the following other camera club(s)
If you have a photography website, what is the URL?
What volunteer organizations or pro bono work do you support with your photography?
I would like to see the following kinds of training/education groups
I would like to see the following kinds of programs
I would like to see the following club field trips
My primary camera gear (make and model) (e.g., Olympus, OM-D E-M1 MIII)
Which computer system do you primarily use?
Clear selection
Which applications are you competent with?
Please provide any suggestions to improve our club.
I hold NBCC and each member of NBCC, individually and collectively, blameless for any injury that may occur to me or my guests, or my property, while participating in any NBCC activity or event.  Your typed name is your signature. *
Date of Application *
MM
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YYYY
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