- E-Mail: MastersOfImaging@Gmail.com
- Print and Mail
- Workshop "Form" Application
- (Price for each workshop listed on - Workshop Calendar Page.)
Note: If you have problems printing this form please e-mail us and we will send you a copy (.MSW or .PDF).
NAME(s): __________________________________ and ________________________ MAILING ADDRESS: _______________________________________________________________ CITY: _______________________________________________________________ STATE ________________________ ZIP Code ________________________ Type of Card: ______________________________________________________ Credit Card #_______________________________________________________ Expiration Date: ____________________________________________________ Code on the back of card: ____________________________________________ (Use of a credit card will incur $1.50 service fee.) If you currently do not pursue photography as a full time profession, what is your full time occupation? ___________________________________________________________________________ ___________________________________________________________________________ Telephone No.___________________ (We need a current Telephone number to reach participants but will not publish your number. It is your responsibility as well as it is important for you to provide and maintain a valid current e-mail address since participants are notified via e-mail. (Attention: It is highly recommended that you establish an E-mail address if you do not have one.) E-mail addresses are not published, distributed or sold. Please update any changes by visiting the Masters Of Imaging website using the e-mail and address update process.(Day): _____________________ E-Mail Address: __________________________________
(Eve): _____________________ Your Website:____________________________________
(Cell):______________________ Fax #: __________________________________________
Emergency # _____________________________ Person to Contact ___________________ Your Favorite Websites: ________________________________________________________ Major area(s) of photo interest: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ What suggestions do you have for future photo trips, activities or guest speakers? ____________________________________________________________________________ How did you hear about Masters Of Imaging? ____________________________________________________________________________ Film ___ Digital ___ Format: 35 mm _____ medium_____ large _____ Type: Color ____ B&W______ Camera Manufacture______________ Camera Model: __________ Multiple Camera__________ Movie or HD Cameras ___________________________________________________________ Are you associated with any other Network, Society, Guild, Union or Membership Organization? (If Yes who? _____________________________________________________________________ I am a museum member of the following institution(s): ________________________________________________________________________________ My work has been exhibited in the following venue(s): ________________________________________________________________________________ I am represented by the following galleries or stock company: ________________________________________________________________________________ I attend the following Film Festival(s) and / or Camera Trade Expo(s): ________________________________________________________________________________ I subscribe to the following Photography, Cinematography or Art Magazine(s): ________________________________________________________________________________ I have entered the following Photography Contest(s) or Film Festival(s): ________________________________________________________________________________Your support of Masters Of Imaging is appreciated.
(Workshop Form 12/2008 - All Previous Forms are Void)