St. Louis Camera Club
Membership Application and Membership Renewals

Last Updated: Thursday, June 26, 2008

Your First Name  
Your Last/Family Name  
Your Email Address  
Your Phone Number  
Address  
City  
State  
Zip Code  
     
Is this a new membership or a membership renewal?

Is this a individual membership or a family membership?

Names of all new members, rejoining or renewing including family members if appropriate
Day and evening phone numbers for each member.

Email address(es) for each member.

How do you prefer to receive your newsletter?

or Via USPS in B&W and slower

Were you previously a member of the Club? If so, when?

Name(s) as you wish it on your club name tag. (New members and rejoiners only)