Community Media of Staten Island2025 VOLUNTEER PRODUCER INFORMATION FORM Become a Member! For the first time in 2025, Community Media of Staten Island is introducing an annual membership. Membership is for producers and any community member that wishes to support our mission of providing Public Access television to the Staten Island community. Memberships are an important way for producers and the community to support our mission as cable revenue continues to decrease. Annual membership is $50 and can be paid by cash or check made out to Staten Island Community Television Inc. We thank you for your contributions. Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * WE COMMUNICATE THROUGH EMAIL & PHONE ONLY PLEASE PROVIDE TITLE OF PROGRAM THAT YOU PRODUCE OR CREW: DATE OF LAST PRODUCTION : *****For CMSI Staff Only***** Payment ID Number Thank you!
