Membership Form 2019

Please use the form below to RENEW or REQUEST a NEW Membership in the Bloomington Photography Club for the calendar year of 2019.
* indicates a required field.

Phone *
Address *
If registering for a Family Membership, please list participating family members
Please use the following information for the Club Roster . *
While your personal information such as your name, address, email, and phone number will be password protected. This is not a guarantee that others outside the club will gain access.