GCVCC Member Subscription and Registration Form

Gold Coast Video Camera Club

Username *

Password *

Confirm Password *

Personal Details

Birthday *

, , (dd, mm, yyyy)

First Name *

Last Name *

Email *

Street Address 1 *

City *

State *

Zip/Postal Code *

Country *

Phone *

Cell phone

Application to become a Member *

I agree to abide by the rules
laid out in the Constitition. *

I agree to my email address
or phone number being given
to other club members *

Yearly Membership Subscription Fee $45

Local Members also pay
a once-only Joining Fee of $25

Payment by Money Order,
Bank Cheque, or Direct Credit to:
Suncorp Metway Bank
BSB 484-799
A/c 100 396 215

Make sure your name is included on the Direct Debit

Questionaire:

Do you own a camcorder? If yes please give details of Make or Format (SD, HD, Tape, Memory Card etc

What Editing System do you use? (Adobe Premiere, Sony Vegas, Pinnacle Studio, Apple Final Cut, Media Studio e.tc

What do you hope to get from joining this Club

Alternatively you can print this application form and post it to:
Gold Coast Video Camera Club
PO Box 416
Currumbin Q4223

Or, if paying by Direct Credit, email as an attachment to:
ggthrelfall@bigpond.com

Miscellaneous:

I will submit the amount of $45
(+ the once-only Joining Fee of $25)
which is the membership subscription

Optional payment for a restricted Music License
(this allows a person to play copyright
music as long as they play it
themselves from sheet music on some
sort ofmusical istrument, and
acknowledge the copyright)

Please sign
when mailing the Application Form

Delivery Details

If the delivery details are the same as above tick here
if not, please complete the details below

First Name *

Last Name *

Street Address 1 *

City *

State *

Zip/Postal Code *

Country

Phone *

Validation Code *

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