Membership Form

upLoading...

Home
Contact Us
{{profilePhoto.url?'':accountBasicInfo}}
- MY PROFILE
- Dashboard
- Log out

The Field Building Fund Provides microgrants and rapid-response support to independent grassroots organizations and individuals working in documentary film.

The impactful work of the Field Building Fund is made possible through the support of individual donors–support which will be redistributed directly to our grantees. Please help us sustain and grow this vital Fund by donating through the link below.

All donations are tax-deductible.

Doc Lover Membership $55

Doc Maker Membership $85

Producer Membership $250

Storyteller Membership $500

Indie Membership $1,000

Supporter Membership $2,500

Advocate Membership $5,000

I would like to automatically renew my membership

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Include a submember in your membership registration

Include a submember

SUBMEMBER {{index+1}}: {{getSubMemberName(index)}}

Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Add a submember

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

$ Help our Field Building Fund Grow!

Other Amount

{{donationOtherAmountLabel}} *

USD

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{sm.userName}} (Submember)

{{sm.startDate}} - {{sm.endDate}}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

Donation

Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Card

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Amount:

{{formatAmount(totalAmount)}} USD

({{formatAmount(amexTotalAmount)}} USD for AMEX cards)

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Thank you!

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
No contacts.