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APPLICATION FOR NEW MEMBERSHIP

Photography Club of Coolidge
Photography Club of Coolidge Business Office 320 W. Central Ave Coolidge, AZ 85128
Phone (520) 723-5222 www.PhotographyClubofCoolidge.org [email protected]

New Member Information (Please Print)
Date:_______________
Name: Last___________________________ M.I.____ First ___________________
Address:_______________________________________________________________
City___________________ State/Province___________ ZIP/Postal Code___________
Phone:_______________ Cell_________________ Email:________________________

MEMBERSHIP OPTIONS (per calendar year)
Annual Membership (Includes Spouse/Partner)_________________________________ $25.00
First Time ½ Year Membership (Joins between June 1st and October 15th) ____________ $20.00
Student /Youth Membership (Youth under age of 18) ____________________________ Free
Life Membership (Spouse/Partner included) ____________________________________$500.00
(3 year payment plan available –Contact us for details)

Payment Method
Please complete Application and mail payment* to:

Coolidge Performing Arts Center Foundation, Inc.
Photography Club of Coolidge
320 W. Central Avenue Coolidge, AZ 85128
*$20 returned check fee applies; Dues are non-refundable

For more information visit the website at www.PhotographyClubofCoolidge.org
Photography Club of Coolidge is division of Coolidge Performing Arts Center Foundation, Inc a nonprofit tax
exempt 501(c)(3) foundation