Public Access TV Channel 8, Los Alamos New Mexico

MEMBERSHIP APPLICATION FORM

INDIVIDUAL MEMBERSHIP:

Allows an individual voting privileges at monthly and annual meetings.

Allows an individual to air their programs on PAC 8 TV.

Allows checking out of PAC 8 TV equipment.

$20.00/year

ORGANIZATIONAL INDIVIDUAL MEMBERSHIP:

Allows an organization voting privileges at monthly and annual meetings.

Allows an organization to air their programs on PAC 8 TV.

Allows checking out of PAC 8 TV equipment.

$50.00/year

LIFETIME INDIVIDUAL MEMBERSHIP:

$200.00/year

Membership application form

Date: M/D/Y

Member since

Type of application:

Individual

Corporate

Certifed individual

Certified corporate

Name

Address

City

State

Phone/daytime

Phone/evening

E-mail

Driver Licence #

Contact person if under 18

Contact/phone

Send your check to: PAC 8 TV, P.O. Box 840. Los Alamos, NM 87544