The Official Bulletin: 2016 Q4 / NO. 654

Local _______ Local District ___ District _____
Section 5 – RENEWAL for continuing subscribers’ lynda.com accounts
Complete and include this page EACH TIME you submit lynda.com enrollment forms.
PLEASE TYPE OR PRINT LEGIBLY
List members who had a Year 1 subscription and wish to RENEW for Year 2 here.
SECTION Include as 1 Local many pages Union of this Information
section as you need.
Local $25 Union Year Number Two subscriptions (2016-17) begin within 10 days of receipt Phone of this form in the IATSE NY office, or on
September 1, 2016, whichever date is later, and end on August 31, 2017
Mailing Address
*for a complete list of your Local Union’s Year 1 subscribers, contact lynda@iatse.net.
YES, I WOULD
LIKE A $25 Year
Two
LYNDA.COM
NO, END
SUBSCRIPTION/
UNSUBSCRIBE
SECTION 2 Local Union Contact for lynda.com
SUBSCRIPTION ME
This person coordinates enrollment for their members and is assigned the sub-­‐administrator designation
Last Name First Name Email
(2016-17)
of “Group Assistant” on lynda.com. “Group Assistants” can create and assign customized playlists, and
view member usage reports.
Name and Title
Email
Work Phone
Cell Phone
Check here if this is a change in the local union contact for lynda.com
SECTION 3 Authorization from Local Union Leadership to Purchase Subscriptions
Name and Title
Signature
Date
SECTION 4 TO BE COMPLETED BY IATSE EDUCATION DEPARTMENT
Date Form Received
Initial
Spreadsheet TOTAL Quantity Upload
Upload ______________
Date
Cost per subscription x $25
All TOTAL forms COST MUST (enter be accompanied in section 7) by a check from the Local Union’s account made = $ payable ________ to “IATSE” and
mailed to:
Enter the total amount due for RENEWALS in Section 7 (last page).
I.A.T.S.E. Education Department
207 West 25 th Street, Fourth Floor
New York, NY 10001
FOURTH QUARTER 2016 27