Membership Enquiry Form - Conwy Camera Club

Name *

Street Address *

City *

Postal Code *

Phone

Mobile

E-mail (Important: Email will be our primary means of contacting you) *

If you are under the age of 18 please enter your date of birth:Members under the age of 18 years must always be accompanied to all Club events by a parent/ guardian or designated responsible adult.

Address of parent or guardian is different from aboveAdult attending with under 18's must sign a disclaimer upon attending first meeting

Please select membership type *Full Yearly MembershipTemporary Membership (4 consecutive weeks)

I would like to pay yearly/temporary membership fee by... *Cash on attendance of first meetingCheque sent by post (club will forward details)Yearly membership fee of £35 (£17.50 for full time students or under 18's) is to be paid upon attendance of first meeting or by post. Temporary membership cost is £10 for the right to attend 4 consecutive weekly meetings.