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GULF STATES CAMERA CLUB COUNCIL Membership form
RECOMMENDED:
Download a form to print (pdf)
January 1, 2010 through December 31, 2010 Page 1 of 2 Club Name:
Website:
Meeting location:
Address:
City/State/Zip:
Meeting days:
Meeting time:
# of Members:
Term for officers begin: and end:
President: Treasurer:
Address: Address:
City/State/Zip: City/State/Zip:
Phone: Phone:
Email: Email:
Newsletter:
Editor:
Address:
City/State/Zip
Phone:
Email:
GSCCC Rep: If you have separate persons in charge of GSCCC competition entries, please list their info on pages two and three as room allows.
Address:
City/State/Zip:
Phone:
Email:
In which GSCCC competitions will your club participate? Please check or circle .
Pictorial color prints Pictorial B&W prints Pictorial projected
PJ prints PJ projected Nature prints Nature projected None
For instructions and entry forms you will need, check the GSCCC website.
Is your club a member of PSA? Yes No
Annual dues:
1-25 members pay $20.00.
26 or more members pay $30.00.
Make out check to GSCCC.
Mail to: Rose Parker parker52@cox.net
300 Valencia Dr.
Luling, La. 7007
Send copy of form to: Sec./Treasurer Tom Savage
1336 North Creek Dr.
Saginaw, Tx. 76179 or savagetom@charter.net
Please report any change in information of officers, meeting location/times, etc. to: parker52@cox.net.
GULF STATES CAMERA CLUB COUNCIL Membership form
January 1, 2010 through December 31, 2010 Page 2 of 2
Please list those members in your club who handle GSCCC competitions. Some clubs have members who handle strictly prints or strictly digital images (Cd) or certain categories such as PJ only or pictorial & nature.
Competition Category:
Person:
Address:
City/state/zip:
Phone:
Email:
Competition Category:
Person:
Address:
City/state/zip:
Phone:
Email:
Competition Category:
Person:
Address:
City/state/zip:
Phone:
Email:
Competition Category:
Person:
Address:
City/state/zip:
Phone:
Email:
Competition Category:
Person:
Address:
City/state/zip:
Phone:
Email:
GULF STATES CAMERA CLUB COUNCIL
Membership form January 1, 20___ through December 31, 20____
Club name Date__ ____ _________
Mailing address City_____ __
State Zip
website__ __________________ ______
The following officers hold office from to__________
President ____________________________
GSCCC rep____________ _________ _______________
Address Address______________ ____ ______ _____________________
City City__________________ ___ _
State/zip State/zip_ ____ _______
Phone Phone__ _______ ______
e-mail e-mail _____ _______ ___
Bulletin editor Bulletin name_______ __
Address ____________________________
when published___ ____ ___________
State/zip number of club members___
Phone Meeting place________
e-mail address Address_____________________________ ____________________________________________________________________
___________ ____________
Meeting dates: _____________________________
Meeting time: ________ ____________
PSA member Yes ( ) No ( )
Will your club enter GSCCC inter club contests? Yes ( ) No ( )
If yes, check the website for entry forms and instructions you need .
Annual dues schedule
Number of Members
Complete this form and return with dues to:
Rose Parker
Secretary-Treasurer GSCCC
300 Valencia Drive
Luling, La 70070
(985) 785-8158
parker52@cox.net
Make checks out to GSCCC
26 or more $30.00
01-25 $20.00
Send a copy to Tom Savage at savagetom@charter.net 1336 North Creek Dr., Saginaw, TX 76179
If you have separate slide and print GSCCC representatives, please include their name(s) and address.
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