Apply for Membership in ACVL - International Motion Picture Film Laboratory Association

Application for Membership &
Certification of Membership Classification

Please enter all information and print out a copy of this form for your records.
Business Name
Address
City/State
Zip Code
Country
Telephone
Fax
Company Representative
Title/Position
Website URL
E-mail
Classification	North American Laboratory Member
	Laboratory Member outside North America
	Associate Member within North America
	Associate Member outside North America

Dues (in U.S. dollars)

North American Laboratory Member

$600 / yr

Associate Member

$600 / yr

Laboratory Member outside North America

$250 / yr

Associate Member outside North America

$250 / yr

Make Dues checks payable to ACVL and mail to:
ACVL, c/o Peter Bulcke
NT Audio Video Film Labs
1833 Centinela Avenue
Santa Monica, CA 90404
E-mail: treasurer@acvl.org