Kawartha Camera Club Membership Application

April 2026 – April 2027

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Type of Membership

• RENEWAL
• SINGLE – $35
• RECEIPT REQUESTED
• NEW
• FAMILY – $50

If this is a renewal, has your contact information changed since last year?

• YES
• NO

Primary Member Name *

First

Last

Street Address

City / Postal Code

Phone Number

Email *

Type spouse, including

Secondary Member (signiicant other, spouse, child) Name

Phone Number

Email

Do you consent to having your contact details, including your phone number and email address shared within the membership of the Kawartha Camera Club? *

• Yes
• No

Comments or Questions

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