Membership Form for Organizations

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

Financial Commitment for Membership

$100: Standard $35: Grassroots $0: Volunteer (Fee waived for in-kind equivalent - select below) Volunteer Commitment for Membership

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

    Name of potential members:

My organization will host a community meeting for PCAC to make a presentation about Public Access.

My organization will designate a representative to attend PCAC meetings and functions.

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

My organization will send a spokesperson to public hearings or public forums in support of Public Access.

I will educate my membership about Public Access and encourage active participation in PCAC through presentations, newsletter, e-mail, web site, or letter-writing campaigns.

My organization will promote public access on our website, and/or add a link to PCAC's web site, www.phillyaccess.org.

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

Above and beyond the basic dues, my organization will donate $ to PCAC.

Other: Your Organization's Information:

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

Other Comments:

By submitting this form, we agree that our organization’s name may be published as a member of the Philadelphia Community Access Coalition (PCAC).