Erie Shores Photography Club

Membership Application

Name:

Address:

City:

Zip:

Home Phone:

Alternate Phone:

E-mail Address:

Date (MM/DD/YY):

Please make checks payable to: Erie Shores Photography Club

Mail payments to:

Mike Rosa

1715 West 40th Street

Lorain, OH 44053

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Name:
Address:
City:
Zip: Home Phone: Alternate Phone: E-mail Address: Date (MM/DD/YY):

Please make checks payable to: Erie Shores Photography Club
Mail payments to: Mike Rosa 1715 West 40th Street Lorain, OH 44053