Big Island Press Club

Application For Membership


        Name: ___________________________________________________

        Address: _________________________________________________

        Phone:  __________________________________________________ 

        Email:  ___________________________________________________

        Position, employer or school:_________________________________

        _________________________________________________________
       
        Briefly describe your job responsibilities, journalism interests and/or

        media-related activities:

        _________________________________________________________

        _________________________________________________________
       
        _________________________________________________________

        _________________________________________________________        
       

        Membership categories (Please check the appropriate one):

        ___ Professional:  Primary occupation in gathering, preparing, or
        managing of written, photographic, or   video  news, editorial content;
        or teaching of journalism. Retiree formerly so engaged. Annual dues: 25.

        ___ Associate:  Primary occupation in advertising or public relations; or
        part-time professional as listed above. Annual dues: $25.

        ___ General: Those who wish to support the activities of the Big Island
        Press Club.  Annual dues: $25.

        ___ Senior:  Any applicant age 65 and older.  Annual dues: $15.

        ___ Student: Any high school or college student engaged in student
         publications activities. Annual dues: $5.


        Applicant's signature/ date_____________________/_______________

        Sponsors' signatures (Two professional members)

        1)_________________________________________________________

        2)_________________________________________________________

        Please return this application to: Big Island Press Club, P.O. Box 1920,
        Hilo, Hawaii 96721 with a check payable to Big Island Press Club.  Your
        name will be circulated among the membership and you will be notified
        of your acceptance in the club newsletter, The Gleanings.  If you have
        questions, call BIPC Treasurer Rod Thompson, 935-1012.
        -----------------------------------------------------------------------------------
        Treas.____  Gleaner____  Mailer____ /First  date_____/Final date_____