Annual Member Registration Form New

This signed agreement is required to be completed by all members. Permission of Acton TV staff is required for various levels of studio use and borrowing privileges.

Annual Membership Costs are: $25.00 For Acton/Boxborough Residents & $75.00 for all Non-Residents. You may pay through PayPal after submitting the form below or send a personal check.

All users of the facilities of Acton Community Access Television, Inc., are required to sign the membership agreement below each year. The procedure for filling out the form is as follows:

  • Read the agreement on the form below. The full Policies and Procedures are available as a PDF document.
  • Enter your street address.
  • Enter your town, state, and zipcode.
  • Choose your Acton residential status
  • Enter your telephone number.
  • On the same line as the telephone number, enter your own email address.
  • Only if you are under 18 also enter the email address of a parent or guardian who will sign for you. (See below *.)
  • A confirmation link will automatically be sent to your own email address.

Annual Member Registration Form

Please confirm: