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Name___________________________________________________________________________
(opt)business name_____________________________________________________________
Address________________________________________________________________________
City/State(prov.)______________________________________________________________
ZIP/Country ___________________________________________________________________
Phone/Fax _____________________________________________________________________
Email _________________________________________________________________________
Payment Method(check one):check/M.O.________Credit Card_______
Credit Card#______________ ________________ _________________ _________________
Expiration Date:__________ signature __________________________________________
Circle One: Visa, Mastercard, American-Express
. . . . . . .(optional questionaire to help us serve members). . . . . .
. . .
WHICH DESCRIBES YOUR PHOTOGRAPHY(check one)?
I am a beginner.I am an advanced amateur
I am a part-time
professionalI am
a full-time professional
I WANT TO GAIN ACCESS WITH MY CAMERA TO:
SportsCrime scenes.Concerts.Fire scenes.Breaking news.
Press conferences.Celebrity events.Entertainment events.
CHECK EACH AREA THAT INTERESTS YOU STRONGLY:
Press photography.Sports Nature/wildlife. Travel
Videography Glamour.Commercial.Wedding.Portrait
ARE YOU AVAILABLE FOR PHOTO ASSIGNMENTS? YES.NO.
MEMBERSHIP DUES- $ 74.00 -Lifetime IFPO Membership & Today's
Photographer Subscription
SHIPPING..........$ 7.00 -Membership Package Shipping and Handling
TOTAL AMOUNT.....$ 81.00 -ENCLOSED
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