CPAT SIGN-UP FORM

CPAT Membership Application

YES, I /We are interested in being a part of CPAT. By submitting this form, I commit to becoming a member.

Please select the type of membership.

Production House Member

Post Production Member

Freelance Member

Supplier Membership

Click membership type for a description.

Applicants Name:

Company Name (If Applicable):

Names & Titles of personnel participating in CPAT:

Address:

Suite:

City:

Postal Code:

Telephone:

Fax (Optional):

e-mail address:

Website Address:

*Password:

Please list the type of business you are engaged in:

May we contact you to participate as a committee member, should the need arise ?

YES

NO

This information will be used for referrals and allows CPAT to distribute pertinent information to you

CPAT is a private association funded by private entities and individuals. Accordingly, CPAT reserves the right to deny your application for membership if, in the reasonable opinion of its Board, your membership would compromise the integrity of the Association having regard to its Mission Statement and/or Charter.

If your application is accepted, an invoice will be sent to you at the address above. Upon receipt of dues your information will be listed on this site.

* Please include a 4-6 letter password for future access to CPAT Members Only section.

Production House Member
Post Production Member
Freelance Member
Supplier Membership

Applicants Name:
Company Name (If Applicable):
Names & Titles of personnel participating in CPAT:
Address:
Suite:
City:
Postal Code:
Telephone:
Fax (Optional):
e-mail address:
Website Address:
*Password:
Please list the type of business you are engaged in:

Applicants Name:

Company Name (If Applicable):

Names & Titles of personnel participating in CPAT:

Address:

Suite:

City:

Postal Code:

Telephone:

Fax (Optional):

e-mail address:

Website Address:

Please list the type of business you are engaged in: