Nikon Club Philippines

Application Form

This form will be sent to membership@nikonclubph.org

Member Information Also serves as entry to the member directory

Name: No aliases please. Real names only!
Mailing Address
Street: Apt/Suite:
City: Region: Zip:

Home Phone:	Mobile Phone:
Email Address:	Website:

Individual Member (PhP750.00) Pre-paid When you buy a qualifying camera body from authorized CDSC retailers

Other details: Please indicate product model, date and store of purchase, for Pre-paid membership

Please press submit only ONCE. If you got an error message on the next page, DO NOT RE-SUBMIT.