Photography & Cinema Alumni Society Membership Application


Please print out this form, fill it out and mail it with payment to:

The Photography & Cinema Alumni Society
c/o Jeff Rycus
162 Misty Oak Place
Gahanna, Ohio 43230


Name ____________________________________________
Address ____________________________________________
City ______________________ State _____________
Zip Code ______________________ Country _____________
Phone ______________________ Fax _____________
Email ____________________________________________
Employer ____________________________________________
Degree ______________________ Year _____________
Emphasis ____________________________________________


______ One Year Individual Membership - $20

______ One Year Couple Membership - $35

______ Publish my business card in the next newsletter - $2 (Be sure to send us two copies of your business card)

______ Total. Make checks payable to The Photography & Cinema Alumni Society.


Please fill us in on what you've been up to (New Jobs? Awards? Weddings? Exhibits? Screenings?):