MEMBERSHIP APPLICATION FORM – BATHURST CAMERA CLUB Inc
First Name: Surname:
Address: Town/Suburb : Post Code:
Are you: (Please Tick)
Applying for a new membership Renewing your current membership
Membership of the Bathurst Camera Club
Cost is $30.00 per year, commencing 1st August each year.
Half year membership is $15 for new members joining after 1st January.
Junior membership costs $12 per year. Juniors must be accompanied by an adult member at all times.
Direct Deposit details: Bathurst Camera Club BSB 882 000 A/C No 9048634
(Please put your surname in the payee description line)
Bathurst Panthers Leagues Club Membership
You must be a financial member of Bathurst Panthers Leagues Club to join the camera club.
Membership of Bathurst Panthers Leagues Club costs $ 5.00 for the year
Number: _______________________ Valid until: ____/____/____
The Camera Club fee provides access to club meetings, instructional nights, competitions, maintenance and purchase of club equipment and helps to pay for judges and special guest presenters.
New members....how would you describe your photographic abilities? (Please Tick)
NOVICE INTERMEDIATE ADVANCED
Applicant’s Signature: ___________________________________ Date: ____/____/____