Name * Street Address * City * State * Zip Code * Email Address * Age Agreement Are You Under 18 Years of Age? * Yes No Check Interest Areas * Studio Production (host or produce your own show) Field Production (Borrow cameras & other equipment to record "on location") Editing Photography / Graphic Design Submitting Programming Training Workshops Submitting Calendar Announcements Other Promotional Use Payment Method * PayPal or Credit Card (select contribution level below) Check (Mail w/ this form to: Okemo Valley TV, 37C Main St., Ludlow, VT 05149) Cash (Drop it off during our business hrs. w/ this form) Annual Support Level (Select if using a PayPal account) - None -Individual Membership- "Cast" Level $25Individual Membership- "Crew" Level $50Individual Membership- "Director" Level $100Organizational Membership- non profits, civic groups, schools, etc.- $50 Make your selection here if you are using a PayPal account.
