Banbury Camera Club Membership Form

2021/22 Membership Application

Fields marked * are required
Name *

First Name Last Name
Email *
example@example.com
Address *

Address

City County

Post Code
Telephone *
Mobile
ANNUAL MembersHIP TYPE *

Single Waged £25 Single Unwaged £20 Family £30
FAMILY MEMBERSHIP ONLY - PLEASE ADD DETAILS OF ADDITIONAL MEMBER BELOW:
ADDITIONAL NAME

First Name Last Name
ADDITIONAL EMAIL
example@example.com
PAYMENT METHOD *

Bank Transfer Cheque
Please make your electronic bank transfer payable Banbury Camera Club, Sort Code: 30-90-42 Account No: 00156939

IMPORTANT: Please include your full name in the reference box when requesting the payment.

If paying by cheque please make payable to Banbury Camera Club and post to 22 Astrop Road, Middleton Cheney, Banbury OX17 2PG.

As we are not meeting in person, sorry we cannot accept cash payment this year.

Membership will be valid to May 2021.
Use OF Images (tick As ApplICABLE)

I am happy for my images entered in the exhibition or competitions to be used by the club for publicity material in print or on our website and for entries in external competitions. I am happy for my images to be used on the club's Facebook page
KNOW YOUR CAMERA
If you'd be willing to help other members using a similar camera please select your camera here so we know which members could help each other when required.
GDPR - your membership details will be kept electronically by the club while you are a member. This information will not be shared with any other party without your express permission.
Should be Empty:

2021/22 Membership Application