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Membership Renewal Form
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Use this form to renew your GPPDV Membership for 2010. When you submit the form you will be taken to the GPPDV Paypal site to pay your dues. You may use your PayPal account, or any major credit or debit card. Follow the instructions on the site.
Please accept my Application for Renewal of my Membership in the Guild of Professional Photographers of Delaware Valley, Inc. By submitting this form, I promise that the information furnished on this application is true and correct. I understand a requirement for membership is that I familiarize myself and obey the Guild Constitution, By-Laws, and Code Of Ethics and to strive at all times to upgrade and improve my knowledge and skill of Professional Photography. I also understand that this application must be approved by the Guild Board of Directors.
Last Name
*
First Name
*
E-mail
*
Studio Name
*
Studio Address
*
City
*
Zip
*
State
*
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Business Phone
*
Website
Home Address
City
State
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
Home Phone / Cell
If you are a PPA member, please provide your PPA number here. (Very important!)
I would like to receive a printed membership certificate for 2010.
Yes
No
Areas of Speciality (check all that apply) These will be listed on the GPPDV Website Directory.
Weddings
Portraits
Commercial
Special Events
Sports
Video
Digital Services
Emergency List. If you would like to participate in the Emergency List, check all areas that you are able to cover emergency assignments. You MUST provide a cell phone #
Weddings/Events
Portrait Sessions
Commercial Jobs
Sports/School Jobs
Please provide a cell phone number to be used for emergency contact list.
I am able to help the GPPDV in the following capacity.
Membership-Work registration table, greet new members
Programs- Help with AV and audio equipment set up and breakdown.
Hospitality-Help with speaker transportation, meals, etc.
Marketing- Help promote programs and new membership
Sponsors- Help with finding sponsors and advertisers.
Events- Help with planning and work at Guild Functions.
Communications- website, email, forums
Competition- Help at imaging competitions.
Dues Received after March 1st, 2010 include an additional $25 Late Fee. Individual Dues now are $225 per Active Member and $325 for a Firm Membership which covers the Studio owner and up to 3 additional employees.
Please list any additional members to be included under your Firm Membership here:
Membership Dues
Active Member Late Renewal ($
225
)
Firm Member Late Renewal ($
325
)
Total : $
0
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