Membership Form 2018

Please use the form below to RENEW or REQUEST a NEW Membership IN the Bloomington Photography Club for the calendar year of 2018.

*required

Phone *
Phone
Address *
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 others outside the club will gain access.