Western Reserve Photographic Society

PO Box 714

Willoughby, OH 44096  

www.wrpsphoto.org  

wrpsphotoclub@outlook.com

NEW   /  RENEWAL

Name: _________________________________________

Address: _________________________________________

Phone: _________________________________________

Email: _________________________________________

Membership Levels (please select one)

___ Individual ($35.)

___ Family ($45)

___ Student 21 and under ($20)

___ Senior 60 and over ($30)

___ Senior Family ($35)

Level Of Photography Experience:

___ Novice      ___ Amateur    ___ Advanced    ___ Professional

Camera Format (check all that apply)

___ FILM        ___ Digital       ___ SLR      ___ Point and Shoot

Special Interest  (check all that apply)

___ Family   ___ Travel   ___ Macro    ___ Sports    ___ Commercial    

___ Portrait    ___ Wedding    ___ Abstract    ___ Nature    ___Photojournalism

___ Other _________________________________________ (please list)

Brand of Camera: ___________________________________________

Photographic goals: _________________________________________

Referred by: _______________________________________________

Application Date:____________________________________________

WRPS has many committees. If you would like to volunteer for any please check any and all that sound interesting to you. If you have any questions about what is involved, please see any board member.

___ Competitions   ___ Hospitality   ___ Field Trips   ___ Mentoring  

 ___ PSA   ___ Equipment   ___ Newsletter   ___ Photo Affair  

 ___ Marketing ___ Website   ___ Video Library   ___ Special Events  

 ___ Archives   ___ Bulletin Boards

The Western Photographic Society (WRPS) is a proud member of the Photographic Society of America (PSA)

By participating in a WRPS event, meeting or field trip, you agree to NOT hold WRPS members liable for an personal injury, theft or equipment damage. Your participation in these events acknowledge your understanding and acce[tance of this statement. Also, any photos take at these events, or photos that win awards in a WRPS competition, may be used for promotional purposes in print or on club website. There will be no monetary compensation for that image. Photo credit will be given.

OFFICE USE: ___ Membership list   ___ Name tag  ___ E-M dist list   ___ Profile   ___ Mentor

 


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