Consumer Membership Application (User of Captions or Supporter)

Very happy to know you are interested in joining the most exciting newer and unique consumer captioning advocacy network around – the CCAC.

We invite a donation on joining, and an annual donation from members as follows:

Suggested joining and annual donation is $25 for consumer members (anyone using captioning for hearing/deaf reasons, for language and literacy, for other reasons), Any  amount is appreciated. If any donation is a hardship for anyone, just send a short email to ccacaptioning@gmail.com and it’s waived.

Donate using PayPal on the CCAC web when you submit your membership form (at the same time please). You can use your own credit card on the PayPal site if not a PayPal user. Email with any questions CCACaptioning@gmail.com.

 

    Full Name (required)

    City (required)

    State or Country (required)

    Your E-mail (required) Using a gMail address is recommended, but not required.

    Web Address

    Affiliations

    Areas of Interest (check one or several)

    Education/TrainingEmploymentEntertainmentHealth CareClubs/ReligiousCourts/JusticeTelecommunications and InternetTransportationSports/RecreationPublic SafetyOther

    Comments or Suggestions

    The CCAC annual membership fee: $25 for employed consumer, $50 for providers of any services related to captioning, or $10 for unemployed consumer members. A consumer is anyone using captioning for any reason, including hearing people, and others who support the CCAC activities. Larger amounts welcome! Revenue goes solely for captioning advocacy activities.

    Send your contribution via PayPal at the same time you submit this form online. Use your own credit card on the PayPal if not a PayPal member. The PayPal "donate" link is in the righthand column on all CCAC webpages.