FCDCC MEMBERSHIP APPLICATION

APPLICANT INFORMATION
Name (*)
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Email address
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Home Phone
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Other Phone
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Street Address
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City
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State
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ZIP Code
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Photographic Interests & your expectations of the club:
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Expertise you will share with members (photographic such as workflow, and non-photographic such as accounting etc.)
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Other notes, gear preferences etc.
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SPOUSE INFORMATION IF JOINT MEMBERSHIP
Spouse Name
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Check if spouse contact info is the same
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Email address
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Home Phone
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Other Phone
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Street Address
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City
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State
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ZIP Code
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Photographic Interests & your expectations of the club:
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Expertise you will share with members (photographic such as workflow, and non-photographic such as accounting etc.)
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Other notes, gear preferences etc.
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CHILDREN IF MEMBERSHIP PRIVILEGES DESIRED
Child Name
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Child Name
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EMERGENCY CONTACT
Name of a relative not residing with you
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Address
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Phone
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Relationship
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I (we) authorize the Fort Collins Digital Camera Club to use this information for the purposes of maintaining a membership roster, and to contact me with specifics about club activities. I (we) agree to comply with the Bylaws of the Fort Collins Digital Camera Club. Club dues are currently $20.00 per member, are payable in cash at the first meeting you attend, and at the January meeting every year thereafter.
Check here if you agree
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Check here to be included in a published membership directory
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Date signed
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Submit your application and bring your money to the next meeting
Thank you for your application. Fort Collins Digital Camera Club. FCDCC.com

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