Membership Application Contact Information First* Last* Email* Phone number (Please include area code) Your Address Street address Address Line 2 City ZIP Code StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming What do you like to photograph? (Please select all that apply) Nature – Living CreaturesNature – Plants, Flowers, TreesLandscapesArchitectureSportsPortraitsEveryday LifeOther You selected “Other” from above. Please Explain below: Level of Competition Please select one*Amateur (Includes Beginner & Intermediate)Advanced How did you hear about us? (Please list any and all ways)* Do you agree? I hearby agree to abide by the Code of Ethics, By-Laws and Competition Rules as stated on the Louisville Photographic Society website. By checking the “I agree” box below you are signing this form and you acknowledge that it is the equivalent of your manual/handwritten signature and you consent to be bound to this agreement. I agree*Yes You are not an Active Member and cannot compete in the monthly competitions until you have paid your yearly dues. You may bring your payment to the next meeting. Bring your check (made out to: Louisville Photographic Society) with you to pay in person or you can mail it to: Louisville Photographic Society1335 Castlewood Ave.Louisville, KY 40204 Cash is always accepted too!(In person only. Please do not mail any cash.) Fields marked with * are required. Thanks! We’ve received your submission!
