SPMC Membership Form

DATE: *

MEMBER NAME: *

First

Last

ADDRESS: *

Address Line 1

City

State

Zip Code

EMAIL: *

PHONE: *

T-SHIRT SIZE:

MEMBERSHIP TYPE: *

NEW Membership
RENEWAL of Membership

MEMBERSHIP OPTIONS: Annual fee prices, memberships last for 365 days. (RENEWING MEMBERS CAN APPLY A 20% DISCOUNT IF RENEWING AND PAYING BEFORE THEIR MEMERSHIP EXPIRES) *

$40 - FRIEND membership (These members can provide programs for air but they do not have access to studios/equipment. Churches and other institutions of faith are not included in this category.)
$40 - STUDENT membership (21 and under)
$40 - SENIOR membership (65 and over)
$100 - INDIVIDUAL membership
$150 - FAMILY membership (include additional family member names below)*
$250 (or monthly for $25/month) - ORGANIZATION membership (include additional information below)**
OTHER (SPMC staff will contact you about this membership)

OPTIONAL: Donation Category

PAM STEITZ SCHOLARSHIP: (Established to honor her 25 years of service to the Sun Prairie Media Center, these funds are dedicated to ensuring that all students have access to the KIDS-4 program and other age-appropriate activities at the Sun Prairie Media Center. The awarding of this scholarship is based on financial need.)
SUN PRAIRIE MEDIA CENTER: (general donation to benefit the overall organization.)

OPTIONAL: Donation Amount

Please add your donation amount to the fee total when submitting payment.

*FAMILY MEMBERSHIPS: List Names of Additional Family Members:

**ORGANIZATIONS: List Name of Organization and Main Contact

PERMISSION: *

All users must also complete workshop training in order to use SPMC equipment/facility. Productions completed with SPMC equipment must be submitted for playback on either KSUN, KIDS4, 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 cash or 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)

HOW DID YOU LEARN ABOUT SPMC?:

ADDITIONAL NOTES/COMMENTS: