Membership Form TINA PRODUCTIONS FILMS

Name *

Date *

Address *

City *

State *

Zip Code *

Email Address *

Mobile Number *

Endowment Students *

Producers *

Members *

Subscribers *

Benefactors *

Sustainers *

SEND A CHECK OR MONEY ORDER TO:

INSTITUTO INTERNACIONAL
DE ARTES Y CIENCIAS CINEMATOGRAFICAS
3043 MCLEOD DR
LAS VEGAS NV 89121-2239

Artistic and fine patrons * YesNo

Memorials and Honor Guard Program * YesNo

Children's Arts Theater * YesNo

Educate and train the deaf * YesNo

Cinematography * YesNo

Building Fund * YesNo

Bringing Arts to People * YesNo

General gift purpose * YesNo

A silent diversity * YesNo