The Guild of Professional Videographers

 

2014-2015 Application Form

 

Applicants Full Name: .......................................................................................

 

Business Name:  .. ..............................................................................................

 

Address: ..............................................................................................................

 

               ..............................................................................................................

 

Post Code: ............................................................

 

Phone/Fax No: .....................................................

 

Email Address: ....................................................................................................

 

Web Site: .............................................................................................................

 

I wish to join as:        Affiliated Member: ....... £90.00          Membership Year

 

                                   Registered Member: ..... £110.00       October to September

 

                                                                                            Part year payments are available

 

I confirm that at the present time all or some of my income is derived from film production .............

 

Or

 

I confirm that it is my intention to use film making as a means of obtaining financial income ...........

 

(Please tick as applicable)

 

For Registered Members only:

 

 

I enclose a Video tape / DVD for my assessment. I understand that this remains the property of the Guild as a record of my standard of workmanship. This Tape / DVD can be updated at any time should you change your equipment. Please list on a separeate sheet the equipment you normally use.

 

 

Signed: ..........................................................   Date: ........................................................

 

Method of payment:

 

Cheques made papable to:  The Guild of Professional Videographers

 

Please Debit my credit card:   Card Holder: .......................................................................

 

Card Number: .............................................  Expiry date: ................... Security No.: ............

 

Please return to the address above.

 

 

 

Offical Use only:


Date Received: .............................................    Registration Number: .........................................

 

Tape / DVD seen by assessment panel:  A   B   C   D         Date: ................................................