Name     address     city/state    

e-mail address      phone

Membership Categories

Individual ($25.00)     Non-Profit ($250.00)     Commercial ($500.00)

Donor ($50-99)     Friend ($100-249)     Supporter ($250-499)     Contributor ($500-999)     Sponsor ($1000-2499)

Sustainer ($2500-4999)     Guarantor ($5000+)     Patron ($10,000+)     Benefactor ($25,000)     Grand Benefactor ($50,000+)

*CTRI members are offer up to 10% discount on admission to CTRI events, Production Services, and merchandise provided directly by CTRI

Production Interests Check all that apply

Videography      General Production Assistance     On-Camera Talent     (Actors/Actresses/Musicians/Performing Artists)     Musical Composers

Models     Voice-Over      Make-up     Costume     Set Design     Lighting     Audio     Stage Manager     Camera person

Editor (Analog/Non-Linear)     Director/Assistant Director     Producer/Assistant Producer

TV/Film/Video Experience

Writing Interests (Scripts) Check all that apply

TV programs    Film     Documentaries     TV Movies     News     Children's Programming     Specials     Other

Writing Experience

*include resume, headshot, or video resume with permission for possible link to your e-mail address from www.CTRI.org

Can You Contribute Organizational Support Check all that apply

Legal   Grant Writing     Fund Raising     Marketing     Administrative     Computer Skills     Transportation

I/We would like to join Creative Television of Rhode Island,  with all the membership privileges, for a term of one year from this date.

Your age     Today's date