Northampton Community Television Membership Form 5.1
Please answer the following questions to complete your membership to Northampton Community Television.
First Name *
Last Name *
Address *
City/Town *
State *
Zip Code *
Telephone *
Would you like to receive text messeges from NCTV about crew calls/volunteer/collaborative opportunities? *
If you are easier to reach by text rather than email and are looking to volunteer, this might be the best option
Would you like your phone number to be shared with other NCTV members for collaborations? *
NCTV members often request help with productions. By checking the "Yes" box, you agree to allow members to contact you about collaborating
Email Address *
We will put you on our email contact list but not distribute your email to anyone else unless you give us permission.
Would you like your email to be shared with NCTV members for collaborations? *
NCTV members often request for help with productions. By checking the "Yes" box, you agree to allow members to contact you about productions.
Current Annual Suggested Donation *
NCTV Memberships can be arranged via a sliding scale. NCTV policies are designed so that finances are not a barrier to membership. We accept volunteer work, an alternate donation, or nothing at all.
"Other" Selected for Annual Suggested Donation
If "Other" selected, please explain below.
Agreement with Rules and Policies
Rules and Policies can be viewed here:

I have read and am familiar with, and agree to abide by, the Rules and Policies of Northampton Community Television.

1. I understand that the material I produce will be used for programming on Northampton Community Television.

2. I understand that the following material is prohibited for presentation on Northampton Community Television:

a. Any commercial advertising;

b. Any material which constitutes libel, slander, pornography, invasion of privacy or publicity rights;

c. Any unauthorized use of trademark or copyright;

d. Any material in violation of FCC law;

e. Any material which violates local, state, or federal laws.

3. I agree to obtain all necessary clearances and permissions from any and all organizations, individuals, and groups as may be needed to tape and/or cablecast material on Northampton Community Television.

4. I understand that I am fully responsible for all NCTV equipment and facilities that I use, and I agree to pay for the replacement of any and all equipment damaged or destroyed while signed out in my care, custody, or control.

5. I understand that I am responsible and agree to indemnify and hold harmless the City of Northampton, Northampton Community Television, its directors and employees (and their successors) from any liability, loss, claim, cost, or damage of any nature whatsoever which may arise by reason of any claim that any material cablecast or disseminated by me infringes or violates any rights of any person or organization.
Agreement with Rules and Policies *
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This form was created inside of Northampton Open Media.