isle of man photographic society

Application for Membership

Please provide the following information:

Name *
Title
Street Address *
Address (cont.)
City *
Zip/Postal Code *
Country *
Work Phone
Home Phone
FAX
E-mail
URL
Date of Birth
Sex  Male Female *                        *Required Field

           Fees per annum: Isle of Man Residents - £25.   Overseas Residents - £10.  Juniors 16 and under - Free.**

Fees may be reduced to £10 and £5 respectively if application is made after 31st December

ALL FEES MUST BE PAID IN STERLING ONLY

                       Signature..............................................................*

        ** Youngsters falling into this category must, at all times, be accompanied by an adult (parent/guardian or someone nominated by them) who will be responsible for their safety and wellbeing when attending any Society event whether on or off the Society's premises. The parent or guardian must also countersign this application.

 

            Please print this form and post it to the Treasurer as listed on the Contacts page