Member Information
DATE
NAME
ORGANIZATION
ADDRESS
CITY
ST/PROV MAIL CODE
COUNTRY
TELEPHONE FAX
E-MAIL
Membership Category:
$1000 - Sustaining (up to 20 members and additional benefits)
$ 500 - Corporate (up to 10 members)
$ 275 - Group (up to three members)
$ 100 - Individual
$ 20 - Student (with proof of full-time current student status)
Method of Payment:
Please choose one of the following payment options:
Check
Mastercard
VISA
Discover/Novus
American Express
Credit Card Information:
Cardholder
Expiration Date
Card Number
Checks should be made payable to AVC, Inc.
Please mail within ten days of this submission to:
IAAVC Membership
57 W. Palo Verde Ave
PO BOX 250
Ocotillo, CA 92259-0250, USA
Website Membership Listing
In the following block, list up to three skills (producer, writer, etc.) with a credit resume (40 words or less) that tells something about you and your work.
Click to submit your application. Click to clear the form and start over.