INDIVIDUAL MEMBERSHIP APPLICATION

INDIVIDUAL MEMBERSHIP APPLICATION
If an item has a RED *, that line is required and must be completed
REMINDER: Membership Year Runs July 1st through June 30th
*Name of Your Theatre Group  
*Your Name  
*Street Address  
*City  
*State  
*Zip Code  
*E-mail Address  
*Telephone Number  
Please indicate areas of interest - Select as many areas as you want
Acting  
Technical  
Business/Boardmanship  
Accreditation Program  
Adjudication Service  
Awards Services  
Conventions/Conferences  
Playwriting Contest  
Scholarship Program  
Script Library  
Workshops/Master Classes  
Public Relations/Promotion  
Billing Options
*Individual Membership Type  
*Credit Card Type  
*Expiration Date  
*Credit Card Number  
CVV2 CODE Is 3-Digit Number On The Back Of Your Credit Card
*Enter 3-Digit CVV2 #  
*Name as it Appears on CC  
Written confirmation of membership will be sent to via email.
Thank you for your involvement with and support of C.T.A.M.


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