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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 for credit card orders:_______________________________ Circle One: Visa Mastercard American-Express Optima (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:
Sports events.Crime scenes.Concerts.Fire scenes.Breaking news.Press conferences.Celebrity events.Entertainment events.
CHECK EACH AREA THAT INTERESTS YOU STRONGLY:
Press photography.Sports/Action.Nature/wildlife. Travel photography.Videography.Advertising.Glamour.Commercial.Wedding.Portrait photography.
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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