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Official Membership Form, print and mail in. For paypal click here! | ||||
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| Membership Categories: | |||||
| Basic /
Individual: Family Membership: Producer Membership: Student / Senior Membership: Participating Business Membership: Participating Non-Profit Membership: (must supply verification of 501(c)3 status) Program Underwriter |
$40 / year $60 / year $75 / year $25 / year $100 / year $75 / year $200 / year |
Support
and donations at any amount is Welcome! |
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*businesses
get the following membership privileges: A link on the CCTV54 website,
business logo on the "message board" which plays between shows.
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| Please fill in all information if possible. | ||
| Name(s):______________________________________________________________________ Street Address:____________________________________ Unit / Suite #: _______________ City:____________________________________ State: _____________ Zip: ___________ Email Address:________________________________________ Phone # ________________ Signature:_____________________________________________________________________ Areas of Interest:_______________________________________________________________ |
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| Thank you for supporting Public Access TV in your community! | © 2008 CCTV 54 | |