MEMBERSHIP APPLICATION First Name * Last Name * Organization * Job Title * Address * Address (2) City * State * Zip * Work Telephone Cell Phone Email Address * Website Media Type * Radio Television Author Internet Film Publishing Agency Music Annual Membership Type (Please select one) * Individual Membership - $99 Associate Membership (non-media women) - $125 President's Club - $500 Organization (3-6 Members) - $300 Organization (7-10 members) - $500 Student Membership - $25 New or Renewing Membership? * New Membership Renewal Statement of Faith * I have read and agree with the Statement of Faith. Comments/Message   Security Code * Once you click the Submit button, you will be automatically redirected to our payment gateway through Paypal to complete your application.   Women in Christian Media is a division of Joy TV International.