Program Registration

* Indicates Response Required

First Name *

Middle Initial

Last Name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell/Primary Phone *

Alternate Phone

Email Address *

Re-enter email address... *

Program Selection

Eligible discounts (maximum of two) 🛈

I qualify for the early registration discount (10% off)

I have participated in an API program before (10% off)

I am a member of an affiliated camera club or Adirondack partner organization. (Please type the name of that organization in the box.) (10% off) I am a member of an affiliated camera club or Adirondack partner organization. (Please type the name of that organization in the box.) (10% off)

I would like to purchase the following: *

For a list of our affiliated camera clubs click here. For a list of our Adirondack partners click here.

Billing Information

* The total amount that will be charged to your credit card depends a number of factors including any discounts you are eligible for, and whether full-payment (or only a deposit) for a program is required. The total you see on your order after submitting this form may not reflect final tuition cost. Any qualifying discounts will be reflected on the invoice that will be emailed to you. An invoice will be sent to the email address provided. *

The email address above is correct

Depending on the event(s) you have chosen and other factors, you may be able to pay a deposit-only at this time. If you choose this option and is not applicable in your case we will contact you. If you do not select this option then the entire tuition is due at time of invoicing.

I would like to pay a deposit-only at this time.

Participant name *

Participant email *

Today's date * +

Participant Signature * 🛈