Please print out this page, fill out the form and mail it and to :
2007-2008 CTAM Membership Invoice
(Expires June 30, 2008)
Name of Member:
_______________________________________________________
(Name of Municipality or Access Center IF VOTING MEMBERSHIP or Individual’s Name if NON-VOTING)
Address: ____________________________________________________
City: _____________________________ Zip:____________
Day Phone: ______________ Fax:______________
Evening Phone: (optional): _______________
E-mail address: ____________________________________________
Please Check Appropriate Membership Category:
____ Voting Membership (Organization) $50.00
Person designated to cast vote on behalf of your organization
__________________________ Their Phone Number: _______
____ Non-Voting Membership (Individual) $37.50
How did you learn about CTAM? ________________________________________________________
Please Make Check Payable To: The Community Television Association of Maine
Print out this form , fill it out and mail to:
The Community Television Association of Maine
P.O. Box 2124
South Portland, Maine 04116
Thank you for your support !
Rev. 06-12-07
Click here to download this invoice as a MS Word document.