Membership Form for Individuals

This form is for both new and renewing individuals.   See also the membership form for organizations.

Financial Commitment for Membership

$35: Standard $15: Grassroots $0: Volunteer (Fee waived for in-kind equivalent - select below)

Volunteer Commitment for Membership

I will inform other individuals or organizations about Public Access and ask them to join PCAC.

    Name of potential members:

I will write and/or meet with my City Council members to advocate for Public Access.

I will make myself available to speak at public hearings or public forums in support of Public Access.

I will attend PCAC meetings and events, and encourage others to attend with me.

I will make in-kind contributions, such as photocopying, phone banking, office space, etc.

I will promote public access on my Web site, and add a link to PCAC's web site, www.phillyaccess.org.

I will donate $ to PCAC.

Other:

Your Contact Information:

Name:
Address1:
Address2:
City:
State:
Zip Code:
Phone:
Fax:
E-mail:
Web site:

Other Comments:

By submitting this form, I agree that my name may be listed as a member of the Philadelphia Community Access Coalition (PCAC).