CreaTV Membership Registration Form

CreaTV's membership is based on a Pay What You Can model to ensure equitable access for everyone, Membership is a contribution based on what you feel is equitable and comortable depending on your own financial position and can be made annually or monthly. Below are suggested annual membership contributions.

You last paid ${previousMembership} for your membership. Please select the amount below for your renewal.

My Products

Membership - Contribute - $50

When membership is a financial challenge

$50.00

Membership - Maintain - $200

For members who can afford occasional comforts

$200.00

Membership - Sustain - $500

For members who can afford regular comforts

$500.00

Membership - Other

Enter the amount you can pay. If you contribute more than $500 you will support others who cannot afford access.

$1.00 Enter Amount

Total

Name

First NameLast Name

Pronouns

Pronouns are used in place of a proper noun (like someone’s name). We use pronouns most often when referring to someone without using their name. We want to be sure we use the correct pronouns for you.

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

example@example.com

Phone Number:

Format: (000) 000-0000.

Occupational Affiliations (Optional):

Please note if this is an organizational membership0/1200

Special Skills (Optional):

0/255

We use demographic information such as Gender, Race and Ethnicity, and Income to assess what communities we are serving and ensure that we are offering programming that is accessible and relevant for our communities.

Gender

Race/Ethnicity

Income

SF Amount

When would you like your membership to start?

Date

By clicking the "Pay Now" button you are submiting your online application and will be re-directed to Paypal to submit your payment. Once we recieve your payment, we will contact you about your Membership.

Thank you!

Contact ID

Previous Membership Amount

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.