Please use your mouse to highlight this form and from your print menu choose 'print selection'.

You can then fill out the details by hand and send it to us.

APPLICATION FOR MEMBERSHIP  
I hereby apply for membership of Ilkeston Arts & Camera Club for the season ending in August next.

FULL NAME (PRINT) 
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ADDRESS
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POST CODE
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TELEPHONE
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E-MAIL ADDRESS
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AREA OF INTEREST  
PAINTING / PHOTOGRAPHY / GENERAL ARTS / OTHER*

 
I enclose the sum of £....................  by cheque made payable to “Ilkeston Arts & Camera Club” 

                                                             *Delete as appropriate

Signed
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Date
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I understand that the details I have supplied above will be held on computer.
They will be used solely for the purposes of Ilkeston Arts & Camera Club.
They will not be disclosed or supplied to a third party without my prior written consent.    

Please send the completed form, with your remittance, to
Membership Secretary, 133 St Wilfrids Road West Hallam Ilkeston DE7 6HG

Annual Subscription Fees  2009-10 Subscriptions cover both Monday and Thursday evenings - they remain unchanged for this year. Individual - £25 each   Couples - £42 per couple   'Benefit' - £17 each