Membership Registration Form

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First Name: Last Name: Phone: Email:

WIF Members recieve the bi-weekly Member Bulletin and the weekly WIF Newsletter for news, discounts, and special opportunities.

Membership Level:

Student - Free

Ally - NOW $60

Creative - NOW $85

Storyteller - NOW $200

Champion - NOW $450

Patron - NOW $1450

What is your field? What are you hoping to get out of your membership?

By joining WIF, you are joining a community. Read our code of conduct to know how WIF members protect one another.

I have read WIF's code of conduct

Yes

Voluntary Demographic Questions:

To help Women In Film with record-keeping for federal/state grant applications, we would appreciate you answering the questions below. You are NOT requried to answer them. The information you provide will be kept anonymous and confidential, and used for tracking purposes only. We thank you for your participation.

Pronouns (Check all that apply)

She/Hers

They/Them

He/His

Race / Demographics Are you Hispanic or Latino? Have you ever served or are you currently serving in the United States military? Do you identify as someone with a disability or impairment?

The next pages will take you to payment. You do not need a coupon code to continue. Please go to the next page to process payment. If you are purchasing during the a membership discount period, the discount will be reflected on the last page of payment.

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