Enrollment Form

Please fill out the form below. Your membership will become active upon payment of annual club dues, currently $40 for Single Membership / $70.00 for Couples.

Payment may be made at club meetings by check, payable to: MCC-NJ

Date (required)

Your Name (required)

Your Street Address, City, State, Zip (required)

Your Email (required)

Home Phone (required)

Cell Phone

Type of Camera

Your Website (if you have one)

Type of Photography You Enjoy

How Did You Hear About Us ?

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