Ref.# APMR-0002-11

Date: ________________

No. ________________

MEMBERSHIP APPLICATION FORM 2011

Particulars of applicant
Name : __________________________ Mobile #: __________________________
Mycard No.: _______________________ Email: ____________________________
Gender (M/F): ______________________ Blog: ____________________________
Home Tel: __________________________ Website: ____________________________
Office Tel: __________________________ What type of camera are you using?
Fax: __________________________ ……………………………………………………………………
Address: _________________________________________________________________
_________________________________________________________________

Do you want to receive ArtMalaysia Photography Club notices by email? YES ________ NO _________

Membership fee RM150.00 only per annum CASH
FEES (Please √ the appropriate choice)
CHEQUE

Payment by cheque, please make all cheques payable to : ARTISTICA MARKETING

Enclosed registration fee and the cheque no. is ____________________

Benefits:
1) Members will be listed in Photographer Directory on ArtMalaysia Photography Club
website and also LINK to www.artmalaysia.com.my

2) Members will have their own page to post their profile, activities, photographs, etc…

3) An annual photography exhibition will be held at Galeri Dunia Seni Lukis or Alyssa Galeri.

4) There will be an Online Gallery for Members to post their work for sale.

5) We will organize photography tours locally (Malaysia) and internationally.
The cost will subsidy by ArtMalaysia.






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Signature of applicant                                                          Received by: