NEW MEMBER APPLICATION

Date ___/_/______

Name ______________________________________________________________________________

Address ____________________________________________________________________________

City ______________________________________________ State ________ Zip_________________

Phone _______________________________________________

e-Mail Address _____________________________________________________________________

General Information:

Camera(s) Film __________________ Digital____________________

Your photographic interests.. Check all that apply:

Nature _____ Portrait _____ Photo Journalism _____ Graphic Art _____

Sports_____ Fine Art _____ B&W _____ Travel _____

Animals_____ Patterns _____ Children______ Architecture _____

Other __________________________________________________________________________

Club Information:

Monthly Competition: Scoring to be accumulative? Yes______ No_______

(Accumulative scoring needed to advance.)

Award Ribbons & Certificates: Like to receive? Yes______ No_______

Will Enter Competition Color Prints____ B&W Prints____ Digital____

To be filled in by NCCC:

Your Classification: A classification will be assigned to you based on submitted examples of your work.