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GULF STATES
Camera Club Council

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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  © 2006 Gulf States Camera Club Council

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