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MEMBERSHIP FORM

Light Painters Photography Club

NAME: ______________________________________

DATE OF BIRTH: DD/MO/YR AGE:


Insert photo here _______
CIVIL STATUS: ________________ SEX:
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1.5” x 2”
PROFESSION: _____________________________________
ADDRESS: ________________________________________
________________________________________
CONTACT NOs. ________-
___________________________
ID NO. ____________ E-mail:
____________________________________________

PHOTOGRAPHY INFORMATION

1. What is your level of Photography Skills


( ) Beginner ( ) Hobbyist ( ) Professional

2. What Camera do you use?


( ) Canon Model : __________________
( ) Nikon __________________
( ) Sony __________________
( ) Olympus __________________
( ) Pentax __________________
( ) Others __________________

3. How long have you been into Photography?

_________________________________________________________________

4. Have you ever attended any Photography workshops and tutorials? When & Where?

_________________________________________________________________

5. Are you affiliated to any other Camera/Photography clubs or groups? If yes, what club/group?

_________________________________________________________________

6. What type of Photography genre are you interested in?

() Macro () Black & White


() Portraiture () Street Photography
() Landscape () Photojournalism / Photorealism
() Still Life () Conceptual Photography
() Food / Product () Digital Artwork / Avant Garde
() Events (Weddings, Parties, etc.) () Abstract

7. Who are your inspirations in Photography?

__________________________________________________________________

8. Describe in a few words what is Photography to you and what do you aspire of it in the future.

____________________________
Signature over Printed Name