SPMC Membership Form

DATE: *

NAME: *

First

Last

ADDRESS: *

Address Line 1

City

State

Zip Code

EMAIL: *

PHONE: *

T-SHIRT SIZE:

MEMBERSHIP TYPE: *

WORKSHOPS: New Members, have you completed workshop training at SPMC? *

RESIDENCY: Are You a Resident of the Sun Prairie Area School District? *

YES
NO (individuals who reside outside of the Sun Prairie Area School District must sign up for a NON-RESIDENT membership below)

MEMBERSHIP OPTIONS: All memberships last for 365 days. *

$20 - FRIEND membership (these members can provide programs for air but they do not have access to studios/equipment)
$25 - STUDENTS (21 and under)
$25 - SENIORS (55 and over)
$40 - INDIVIDUAL membership
$50 - FAMILY membership (include additional family member names below)*
$100 - NON-PROFIT ORGANIZATION membership (include additional information below)**
$120 - NON-RESIDENT membership (individual members who live outside of the Sun Prairie Area School District)
OTHER (SPMC staff will contact you about this membership)

*FAMILY MEMBERSHIPS: List Names of Additional Family Members:

**NON-PROFIT ORGANIZATIONS: List Name of Non-Profit Organization and Main Contact

PERMISSION: *

All users must also complete workshop training and pay the fee associated with the training in order to use SPMC equipment/facility. Productions completed with SPMC equipment must be submitted for playback on either KSUN, KIDS-4, or 103.5 The SUN.

PAYMENT OPTIONS: (online payments include a convenience fee of 2.35% for credit cards and $1.00 for an e-check) *

Mail or drop off a check made out to: Sun Prairie Media Center at 1350 Linnerud Dr, Sun Prairie, WI 53590
Pay with credit card or e-check online at: https://paydirect.link2gov.com/cityofsunprairieVT/ItemSelection/SelectItems
Invoice: Please send an invoice to the email address above for the total amount
Other (SPMC staff will contact you about this option)

ADDITIONAL NOTES/COMMENTS:

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