Assabet Valley Camera Club

Membership

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The Assabet Valley Camera Club Membership Form
Season 2009 - 2010

Membership is easy!  Come to a meeting! 

Good News to all!!  Club dues are NOT going up

Mail completed form and check to:
The Assabet Valley Camera Club
Debbie Milliken, Treasurer
41 Old North Rd.
Hudson, MA 01749

Please sign me up for the following 2009-2010, club membership:

______$40.00/ person
______$60.00/ family
______$35.00/ senior (age 65 and above) 
______$50.00 Senior household

Name___________________________________________________
Address:_______________________________________________
City:___________________________State:_____Zip:________
Home Phone__________________Work Phone:________________
Email:_________________________________________________

How did you hear about us?
___Internet___Newsletter___Friend___Club Member___
Other:_________________________________________________

What are your photography interests? ___________________________________________________________

 

Copyright ©  2010 Assabet Valley Camera Club