NAME

Title Mr Mrs Miss Ms Dr Rev First Name Family Name Preferred Name (for badge)

HOME ADDRESS

Street No. Street Name Suburb Postcode

POSTAL ADDRESS (IF DIFFERENT FROM ABOVE)

Street No. Street Name Suburb Postcode

CONTACT DETAILS

Email Address Telephone Number Mobile Telephone Number

Partner's Name Partner's Telephone Number

PHOTOGRAPHY EXPERIENCE

My photographic experience? I am an experienced photographer I am a competent photographer I am an average photographer I am an inexperienced photographer I am a novice photographer Previous membership of a camera club? Yes No

If you have previously been in a camera club, please
provide details of which club(s) and your grading (if any)

If you have entered photographic competitions and/or
received any awards, please specify

My camera (please give make and model) Make Model

My experience using a computer I am a competent computer user I can do the normal day-to-day taks on a computer I am not very confident using a computer My computer I do not have a computer My computer is a PC My computer is a MAC

My main photographic interest is Landscapes Family photos Travel photography Desktop photography Macro photography Portraiture No particular interest - a bit of everything My main reason for joining is Improve my photography Social To enter competitions

I heard about ESPS via Internet search Word of mouth Library leaflet Telephone Book Local Council Community Activity Local Newspaper I shall be making payment via Bank Transfer Cheque in the mail Cash at a club meeting

By making this application I agree to support the purposes of the Association which are "to foster and encourage all forms of photography including any associated technology and related activities, and to do so within a social and supportive environment".

Please click the "submit" button to forward the completed application to our Membership Officer.

COMMENTS / FEEDBACK

Payment methods:

Payment may be made in any of the following ways:

• Cheque made payable to the Eastern Suburbs Photographic Society and mailed to ESPS, PO Box 187, Forest Hill, Victoria 3131.
• Cash or cheque as above but brought to a meeting of the Society and paid to the treasurer.
• Bank Transfer to BSB 633-000, Account 131803314 , A/c name: Eastern Suburbs Photographic Society. In the reference field please insert your last name so that we can match your payment with the right application.

The current membership fees may be found at: Membership Fees.