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Join Us
As a Member of BCTV
One-year subscribing membership:
$250+
$100
$75
$50
$30
Payment type:
Check
payable to BCTV
VISA
MasterCard
Account Number: ________________________________ Expiration:_________
(please add $2 to charge payments to cover service charge)
BCTV may
use my name in the membership listing.
Name:
|
_____________________________________________________
(as
you would like it to appear in the member listing) |
| Address: |
_____________________________________________________ |
| City: |
____________________________ |
| State: |
_________ |
| Zip: |
_________________ |
| Telephone: |
(H) _______________________ (W)
_________________________ |
| Email: |
____________________________ |
| |
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| If your employer is a matching gift company,
please provide company name:
_____________________________________________________ |
Your
membership card and benefits will be mailed
to you within a month of receipt of your payment.
Thank You!
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