Women in Film and Video
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Membership Application

Membership in Women in Film & Video/New England is open to women and men who work in the film, video and related industries or those who aspire to working in these fields.

Professional One-Year Membership: $100; Student One-Year Membership: $35
 

Contact Information (mandatory)

Choose One: New member   Renewal   Gift membership
First Name
Last Name
Organization/School
(if applicable)
Address
 
City State Zip 
Email address
Home Phone
Business Phone
Cell Phone
Website http://

 

Biographical Information (optional)

How did you hear about us?
Current Job Title
Employer
Occupation (editor,
writer, gaffer, etc.)
Credits
Awards
Past Employment
Professional Affiliations
Membership Type $100 — Professional One-Year Membership
$35 — Student One-Year Membership
Paying By

Interests

Board   Membership Development   Curating Screenings   Programming  
Fundraising  Screening Own Work   Event Planning

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WIFV/NE, P.O. Box 922, Allston, MA 02134 • (617) 871-9667 •