Association of Transformative Media Arts

Membership Application

Name & E-mail (required)


First   Middle   Last

Personal E-mail

Business Information

Company

Position

Type of Business

Business Address

City   State  Postal Code

Country   Business E-mail

Business Phone   Fax

Business Web Site

Make business information available to:
ATMA staff only ATMA members Public Listings

Personal Information

Home Address

City   State   Postal Code

Country Personal Web Site

Home Phone   Home Fax


Make personal information available to:
ATMA staff only ATMA members Public Listings

Questionnaire

We ask that you help us to make ATMA better. This information will be kept private.

How did you first hear about ATMA?

What areas of ATMA are of most interest you?

Networking
Social Gatherings
Presentations
Workshops
Collaborative Projects		 Film Festivals
Media Forum Publication
Free Web Page Listing
Online Resource Bank
Online Catalog

Anything else that you would like to see offered by ATMA?


Do you have any other feedback or suggestions?

Would you be willing to volunteer your skills?

Social Events
Program/Event planning
Marketing/PR Skills
Computer skills
Editing or copy writing 		Media Forum Publishing
Fund Raising
Governing Body
Other:

Do you participate in any other media organizations?

Annual Membership Dues

Business Membership $55
Sustaining Membership $ (over $55)
Student Membership $25
Group Membership (3 or more, with a single listing) $100
Free Social Membership (includes newsletter and listing)

Thank you for joining ATMA! You will see a confirmation page after clicking the Send button above. If you do not see a confirmation, please contact our home office at (415) 499-9065--as sometimes the link connecting the application to our email can break.