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2. TO BECOME A MEMBER...

   Per the City of Midland’s Code of Ordinances, in order to use services of MCTV, an applicant must:
   
   * Be a resident of the City of Midland or Midland County, or work for a non-profit organization based in the City or Midland County - PICTURE ID REQUIRED FOR PROOF OF RESIDENCY
   *  Abide by the RULES AND REGULATIONS of MCTV
   * Pay a NON-REFUNDABLE $25 Access User Fee, renewable yearly
   * Pay a NON-REFUNDABLE $20 Workshop Fee, one time
   * If < 18 years of age, have a parent/guardian sign the application
   * If < 16 years of age, have parent/guardian take training with you The Access User fee gives applicant the ability to:
   * Submit message(s) on the Community Message Board, channel 189 and on MCTV’s Facebook page
   * Submit program(s) for cablecast on MCTV Channel 191, Community Voices
   * Select MCTV’s video online, YouTube, and Podcast services
   * Use MCTV’s production equipment upon completion of the Media Producer Workshop

4. APPLICATION TYPE
   -- Select One --New User & Workshop RegistrationNew User & Message Board OnlyAccess User Renewal

   Select the application type that applies.

6. APPLICANT INFORMATION: Must be a Midland resident or represent a non-profit within Midland
8. First Name
9. Last Name
11. Address1
13. Address2
15. City
16. State
17. Zip
19. CELL PHONE
20. ALTERNATE PHONE
21. EMAIL ADDRESS
23. EMERGENCY CONTACT
25. PREFERRED DATE FOR MEDIA CREATOR WORSHOP

    Please see our website schedule for upcoming workshops.

27. PLEASE CHECK ALL THAT APPLY BELOW
29. SERVICES DESIRED AS ACCESS USER

    1. Submit Messages

    1. Submit Programs

    1. Use MCTV Equipment

    1. Volunteer
31. TYPES OF COMMUNITY MEDIA YOU WOULD LIKE TO MAKE

    1. Studio Talk Shows
    2. Podcasts Audio/Video

    1. Community Event
    2. Music / Sports

    1. Local News
    2. Other

    1. Entertainment
33. IF OTHER, PLEASE SPECIFY:
35. VOLUNTEER OPPORTUNITIES YOU ARE INTERESTED IN

    1. Sports

    1. Music/Concerts

    1. Talk Shows/Podcasts

    1. Record Community Events
37. NON PROFIT ORGANIZATION SERVICES

    1. Event Production Services

    1. Public Service Announcements

    1. Mini Documentary Service
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit Submit and Print

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