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New Member application

New member request
Application to become a member at Centurion Camera Club.

First Name

*

 

Surname

*

 

Contact e-mail

*

 

Verify e-mail

*

 

Cell Phone

*

 

Work Phone

 

ID Number

 

PSSA Number

 

Language

 Afr Eng

 

5 + 4 = *

 

 

Annual fee structure for 2012

Pro-Rata once-off annual fee for New Members
Payable in the month that you join and already includes a
 R 50.00 joining fee

Jan

R 280.00

Feb

R 260.00

Mar

R 239.00

Apr

R 218.00

May

R 197.00

Jun

R 176.00

Jul

R 155.00

Aug

R 134.00

Sep

R 113.00

Oct

R 92.00

Nov

R 71.00

Dec

R 50.00

Once you have submitted the registration form above, your registration will be activated when payment has been received in our account.  Please use your name as supplied above as reference when making your deposit.

Our ABSA Account is:
Centurion Camera Club, Account: 9060 392 759, Branch 632 005

Q & A

If you need any additional information, please visit our New member Q & A page

Where moments are captured... and memories are shared...

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