INDIVIDUAL
MEMBERSHIP APPLICATION
Dues:
Single = $35 Family
[all living at same address] = $45
NAME OF THEATRE GROUP_______________________________________________________
NAME___________________________________________________________________________
STREET ADDRESS________________________________________________________________
CITY____________________________________STATE_______________________ZIP________
EMAIL ADDRESS_________________________________________________________________
TELEPHONE #____________________________________________________________________
FAX #____________________________________________________________________________
AREAS OF INTEREST: CHECK AS MANY AS IS APPLICABLE TO YOUR INTERESTS
Acting Technical Business/Boardmanship
Accreditation program Adjudication service Awards services
Convention-related activities Playwriting contest Scholarship program
Script library Workshops/Master classes
MAIL COMPLETED APPLICATION TO
CTAM
c/o NANCY PESKA
4619 W VAN BUREN RD
ALMA, MI 48801