Information about http://www.smctv.tv/MembershipApplication.pdf
SANTA MARIA COMMUNITY TELEVISION …
Tags: address street, city of santa maria, city state zip, community television, e mail, individual membership, last address, mail check, membership type, organization address, organization membership, policies and procedures, production experience, programming goals, representative agent, television production, tv production, tv staff, zip name, zip phone,Pages: 1
Language: english
Created: Wed Aug 30 16:15:33 2006
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SANTA MARIA COMMUNITY TELEVISION
MEMBERSHIP APPLICATION
Annual Membership Type (check one): Individual _____ Organization _____
If applying for an individual membership, please complete this section:
____________________________________________________________________________
Name (First, middle initial, last):
Address (street, city, state, zip):
Phone: (Work, home, cellular):
E-mail: __________________________
Do you have prior experience in television production? Yes ____ No____
Describe your TV production experience:___________________________________________
What are your programming goals at SMCTV?
____________________________________________________________________________
If applying for an organization membership, please complete this section:
Name of Organization: _________________________________________________________
Address:_____________________________________________________________________
Street City State Zip
Name of representative agent or officer: ___________________________________________
Phone: _________________________ E-mail: _______________________
(check one)
____ Individual residing in City of Santa Maria: $25
____ Individual residing outside of City of Santa Maria: $25
____ Nonprofit or institution based City of Santa Maria: $25
____ Nonprofit or institution based outside City of Santa Maria: $25
If paying by check, make check payable to: City of Santa Maria
For TAP TV Staff Use only:
Membership can only be approved AFTER the person applying has signed SMCTV Policies and
Procedures and the Channel Use Agreement. When this has been done, CHECK HERE: _____
Receipt issued by (Name of SMCTV employee):_______________________
Date membership approved: ___/___/_____ Membership is valid for one year