Camera Cinema Club Membership Form
2008-2009 Program

Name ______________________________________ E-Mail _________________

Address ____________________________________________________________

City/State ___________________________________________ Zip _________

Phone: Day _______________ Eve _________________ Fax _______________

Location Choice (check one):  _____ Camera 7 at 10:30 AM
                              _____ Camera 12 at 2 PM

New/Renewing Member Rate (for 10 events):

# of Members  ______   X  $160  =  $ ________ TOTAL


NOTE: This is a savings of $2 per event over the at-the-door price!  


Check # ___________________  Cash __________________

Credit Card # __________________________________ MC _____ VISA _____ 

Signature ___________________________________ Expires ______________

Referral/Employee: _________________________________________________

The Camera 12 is at 201 S. Second Street in downtown San Jose; the Camera 7 is in the Pruneyard Shopping Center, 1875 S. Bascom Ave., Campbell.

For more details, call (408) 871-7774. E-mail form to Club director Tim Sika at celluloiddreams@earthlink.net, or mail to Camera Cinema Club, P.O. Box 720728, San Jose, CA 95172-0728.