Community Theater Membership (Voting)
NOTE: Enter 'Pending' or 'NA' in fields where information is not yet available

Theater Name

Theater Venue

Theater Street Address

Theater City, State, Zip

Theater Phone

Theater E-mail

Contact Person

Contact Address

Contact City, State, Zip

Contact Phone

(Required) Contact E-mail*

Member Names for Board of Directors:
All fields required

1.Name

1.Address

1.City, State, Zip

1.Phone

1.E-mail

2.Name

2.Address

2.City, State Zip

2.Phone

2.E-mail

Your membership will be dated as of the date we receive your check for
$25 Annual Theater Membership Dues.
Make check payable to:
Maine Association of Community Theaters
P. O. Box 489, Monmouth, ME 04259

Individual Membership (Non-voting)
NOTE: Enter 'Pending' or 'NA' in fields where information is not yet available

Name

Address

City, State, Zip

Phone

(Required) E-mail*

Your membership will be dated as of the date we receive your check for
$10 Annual Individual Membership Dues.
Make check payable to:
Maine Association of Community Theaters
P. O. Box 489, Monmouth, ME 04259