Community Darkrooms : Membership

Membership Registration

Full Name:
*Email:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
	SU Undergrad - Semester: $40 SU Undergrad - Year: $80 SU ID card - Semester: $75 SU ID card - Year: $150 General Public - Semester: $125 General Public - Full-year: $250
SU ID number:
Comments:



*** Payment information needs to go here **