Membership Application

Submit this form to become an MVTV member to access studio equipment, broadcast content, and connect with Martha's Vineyard. Individual, family, and student plans available.

Name of Submitter*:

Group or Organization represented (if applicable):

Address*:

Phone Number*:

Email address*:

Is it okay for MVTV to give out the above phone number to other MVTV producers for possible production work? *

Yes

Membership type:

ALTHOUGH MARTHA’S VINEYARD COMMUNITY TELEVISION (MVTV) MAKES EVERY EFFORT TO ASSURE THAT ALL EQUIPMENT IS IN GOOD OPERATING CONDITION, IT ASSUMES NO RESPONSIBILITY FOR EQUIPMENT FAILURE.

APPLICANT ACCEPTS RESPONSIBILITY FOR ANY MVTV EQUIPMENT HE OR SHE USES AND UNDERSTANDS THAT HE OR SHE IS RESPONSIBLE FOR ITS REPAIR OR REPLACEMENT IF LOST OR DAMAGED BEYOND NORMAL WEAR AND TEAR, AS DETERMINED BY MVTV STAFF.

APPLICANT HAS READ AND UNDERSTOOD THE MVTV PRODUCER’S HANDBOOK AND WILL COMPLY WITH ITS POLICIES REGARDING THE USE OF MVTV FACILITIES AND EQUIPMENT.

Applicant Signature:

*I understand and agree that electronically typing my name constitutes a legally binding signature. I agree that the electronically stored copy of my signature, authorizations, and documents will be considered the true, accurate, and enforceable record. I will not contest the admissibility or enforceability of these documents.

Date:

Is Applicant Under 18? *

Yes

If Yes, Co-signer’s Signature. Co-Signer must also complete a Parental Permission Form.

Parent/Guardian Signature:

Print Name:

Date:

Thank you! Your submission has been received!

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