MEMBERSHIP FORM
NIH R&W CAMERA CLUB
2007-2008
PROGRAM YEAR
The
NIH R&W Camera Club is sponsored by the NIH Recreation and Welfare
(R&W) Association. The club's
membership consists primarily of current and former NIH employees and their
families. The club is also open to anyone
else who has an interest in photography.
However, all members must belong to the NIH R&W. R&W membership is renewable every
January. Camera club membership is
renewable in September. As a
convenience to members, the Treasurer collects the R&W dues with the Camera
Club dues in September and then distributes the next year's R&W cards as
soon as they are available.
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NAME: |
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Returning |
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(Returning
members need only complete address info if changed.)
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WORK
ADDRESS: |
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NIH
INSTITUTE: |
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HOME ADDRESS: |
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PHONE: |
Home: |
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Office: |
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Mobile: |
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E-MAIL
ADDRESS: |
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Do
you also want to receive E-mail notices from R&W? |
Yes |
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No |
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FEES:
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Single membership - $20 |
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R&W membership - $7 |
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Family membership - $23 |
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R&W family member - $7 each |
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Off-campus mailing - $12 |
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(each family member must join) |
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TOTAL AMOUNT ENCLOSED |
$ |
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MAKE
CHECKS PAYABLE TO: NIH Camera Club
SEND
TO: Mary Ann Daly
NIH Camera Club
Treasurer
5301 Westpath Way
Bethesda, MD 20816
301-229-8942