sctv membership application - sandwich...
TRANSCRIPT
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 _______________________________________________