Membership Application

PERSONAL INFO

Name*

First Last

Phone number*

Email*

Enter Email Confirm Email

By providing my email address I understand that I will be automatically subscribed to the CineVic mailing list and may unsubscribe at any time.*

(please check the box)

Instagram handle

(So we can follow you!)

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Twitter handle

(So we can follow you!)

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I am:*

under 18 years of age.
18 years of age or older.

Name of your parent/guardian*

First Last

(Required for applicants under 18 years of age)

Email of parent/guardian*

(Required for applicants under 18 years of age)

Phone number of parent/guardian*

(Required for applicants under 18 years of age)

GENERAL INFO

How did you hear about CineVic?*

Reason for joining or renewing:

Area(s) of filmmaking interest or expertise:

Workshop topics you would be interested in:

Equipment items you would be interested in renting:

MEMBERSHIP INFO

This is a :*

New Membership
Renewal

Choose your membership:*

Production Membership (no volunteer hours required) $220+GST
Production Membership (7 volunteer hours required) $110+GST
General Membership (4 volunteer hours required) $60+GST
General Membership (no volunteer hours required) $120+GST
Community Membership (2 volunteer hours required) $30+GST
Community Membership (no volunteer hours required) $60+GST

Choose your membership:*

Production Membership (renewal) $110+GST
General Membership (renewal) $60+GST
Community Membership (renewal) $30+GST

Choose your method of payment:*

Pay via credit card at the CineVic Online Store
Pay via PayPal or Interac e-Transfer to director (at) cinevic (dot) ca
Pay in-person at our office (please contact us to set up an appointment)

Link to previous film and video work on Vimeo, YouTube, etc. (required for Production Membership):*

Please submit complete film/video works, NOT a link to your IMDB profile or personal website. If your work is not online, you may bring a hard copy to our office.

What was your role in the above production?*

REFERRAL

Were you referred to CineVic by a current member? (optional)

First Name Last Name

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Email

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Phone

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Reference #2

First Name Last Name

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Email

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Phone

QUESTIONNAIRE

All new/prospective members must complete the following brief questionnaire. The answers can be found on this website and in our Bylaws. We recommend opening this form in a new tab or window so you can peruse our site to find the answers.

1. As a CineVic member, are you allowed to rent equipment for someone else’s project using your membership rates?*

Yes
No

2. If you are a member and would like to film a project over which you do NOT have full creative control, do you receive the member rate for equipment rental?*

Yes
No

3. If you use CineVic equipment at membership rates, do you need to include the CineVic logo in the credits of your film and provide CineVic with a copy for our film library?*

Yes
No

4. CineCredits can be redeemed in exchange for ___________?*

Equipment Rental
Cash

Signature*

By signing below I confirm that I have read and agree to abide by CineVic Bylaws.

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Email

This field is for validation purposes and should be left unchanged.

Membership Application & Renewal Form

PERSONAL INFO

GENERAL INFO

MEMBERSHIP INFO

REFERRAL

QUESTIONNAIRE