SCTV MEMBERSHIP APPLICATION - Sandwich …sandwichcommunitytv.org/.../2015/11/SCTV-MEMBERSHIP-APPLICATION.pdfMicrosoft Word - SCTV MEMBERSHIP APPLICATION.docx Author: Sandwich Television
Post on 28-Mar-2018
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SCTV MEMBERSHIP APPLICATION NAME _______________________________________________________
ORGANIZATION _______________________________________________________
ADDRESS _______________________________________________________
MAILING ADDRESS _______________________________________________________
CITY, STATE, ZIP _______________________________________________________
PHONE ______________(H) ______________(W) _______________(C)
EMAIL _______________________________________________________ MEMBERSHIP TYPE Ο$25 Individual Membership Ο$50 Organizational Membership
Ο$15 Organizational Representative (Organization must be a member) Ο$75 Family Membership (Covers 2 adults and all children under age 18 who reside at the same address)
Member Signature Date _______________________________________________ If under 18, parent or guardian must sign: Parent Signature Date _______________________________________________
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