Membership Form

If you wish to join the Bloomington Photography Club or renew your membership, please fill out the membership form below. Instructions for paying the annual dues will then be emailed to you within a few days. You will be able to pay by check or by Zelle. Individual memberships are $30, family memberships are $40, and student memberships are $10.

(Effective on April 2, 2025, individual memberships will be $40, family memberships will be $60, and the student memberships will be $15.

Last Names

First Names

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

NEW or RENEWAL

Membership Type

Payment Options

Family Members

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.

Name, Email, and Phone Number

Name and Email Only

Name Only