BURNABY PHOTOGRAPHIC SOCIETY
(BPS)

Membership Application Form

Fill out the form below and then print it by clicking on the "Print" button at the bottom of the page.

Date of application:

Surname:		Given Name:
eMail:
Street Address:
City:		Province:
Postal Code:
Home Phone:		Cell Phone:
Personal stuff:
How many other photography clubs are you a member of?
	None One Two Three or more
Which of the following is your age group?
Occupation:
My home computer used for photo editing is a/an:		PCApple
Which software do you use for photo editing?
Which software do you use for organizing your photos?

Single Membership $35.00: Family Membership $50.00:
Family member's name:(If applicable)

Amount paid: $ Cheque: Cash:		Please note that payment by cheque would be preferred and a receipt will be issued. When paying by cheque make it payable to:
	Burnaby Photographic Society

	Please print this page after completing the form and bring it along with your fee to a Monday meeting.