The Assabet Valley Camera Club Membership Form
Season 2010 - 2011
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 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? ___________________________________________________________
