Television Membership Application

Renewing

If renewing membership with no changes to station information (i.e. staff, logo, etc.) you do not need to fill out the form below.

Click the “Pay Membership Dues” button below to process a credit card or mail a check to the remittance address below.

Remittance Address

Colorado Broadcasters Association
10488 W. Centennial Rd
Suite 405
Littleton, CO 80127

NEW MEMBERSHIP APPLICATION

If applying as a new member or updating station information, please fill out and submit the form below. A separate form for each individual station is required. An opportunity to make payment will be presented after submitting the form.

Use the button below to see the Membership Dues Scale.

Television Dues Scale

Television Membership Application

LICENSEE INFORMATION

Licensee Mailing Address(Required)

STATION INFORMATION

Accepted file types: jpg, gif, png, Max. file size: 32 MB.

STAFF INFORMATION

Station Manager(Required)
Sales Manager
Operations/Program Director
News Director
Engineer
Traffic Director
Additional Staff
First, Last Name
Title
Email
 
Please add any additional staff using the "+" button below to add additional lines.

CONTACT INFORMATION

please provide your information should we need to contact you with any additional questions.
Contact Name(Required)
This field is for validation purposes and should be left unchanged.