Email: [email protected] Website: www.wifta.ca
MEMBERSHIP
INFORMATION����������������������������������������� Date Submitted:���������������������� �����������
Please submit completed form and payment to the
Name:________________________________________________________________________________
Mailing Address:
_______________________________________________________________________
Home Phone: ______________ Other Phone (Mobile or Work):
______________ � Fax: ______________
Email Address & Website: _______________________________________________________________
Connection to Industry:
_________________________________________________________________
MEMBERSHIP CATEGORIES: (Please check) Includes membership
to WIFT-International
Voting����������������� This provides you with full member privileges as
well as full voting privileges at ��� $32.50
Member ������������ Annual General Meeting.� (Requires
a Minimum of Two Years Professional
����������������������������� Experience
in the Film & Television Industry)������
Non-Voting
������ This provides you with full
membership without voting privileges at the Annual ����� $37.50
Member������������� General Meeting.� (For
those with less than two years Professional Experience
����������������������������� in the Film
& Television Industry OR Individuals interested in supporting WIFT-A
����������������������������� but not in
having voting privileges).
Student
������������� Students enrolled in
full-time studies.� (Valid Student ID Required)������������������������ $17.50
Membership
payable by cheque, cash or money order made out to Women in Film and Television
- Alberta
WIFTA
MEMBERSHIPS EXPIRE ON MARCH 31 ANNUALLY. �RENEWAL NOTICES WILL BE SENT OUT.
Privacy Policy (please read carefully.) If you do not complete this
section your name and contact information will be listed in both directories.
_______�� No, I do not give Women in Film and
Television � Alberta permission to include my name and contact information in the
WIFTA membership directory & Women in Film and Television � International
Database.� If you have any questions or concerns please contact the office at [email protected].
Signature of
Applicant____________________________________
VOLUNTEER COMMITTEES: (please check the committee(s)
with which you are interested in volunteering)
_______ Professional
Development
_________ Networking������������������������� ________��� Special Events
�HAVE
YOU INCLUDED: (please check)
_________
Completed Application Form ������ �_________ Industry
Bio/Resume�� _________ Payment