Apply For or Renew Membership Online MEMBERSHIPNewRenewalLast Name or Organization Name*First Name or Contact Name*Street Address*(include P.O. Box, Apt #, etc.)City*Province*AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code*Is this the mailing address you would like to receive library titles?*Yes, send library books to this address.No, send library books to an alternate address.Enter the address that you wish to receive library books in the space provided:*Home Phone*Work Phone*FaxCell Phone/Pager #Preferred Method of Contact*Regular MailEmailEmail Address*AFFILIATIONCAEAIATSEACTRAAPNOtherMEMBERSHIP CLASSIFICATION*Student/Senior $20 (1 year)Individual $35 (1 year)Group A $60 (1 year)Group B $85 (1 year)Group C $110 (1 year)Student/Senior $30 (2 years)Individual $60 ( 2 years)Group A $100 (2 years)Group B $150 (2 years)Group C $200 (2 years)Group A = annual operation budget under $10,000/year Group B = annual operation budget under $100,000/year Group C = annual operation budget over $100,000/yearJust so we know... are you a:*StudentSeniorThere's no difference in price - we'd just like to know who we are talking to. Thanks!For INDIVIDUAL MembershipsI AM*A professional artistAn emerging artistCommunity Theatre ArtistA teacherOther*Add a general membership with Alberta Playwrights' Network+ $15 for 1 year+ $30 for 2 yearsFor GROUP Memberships OnlyTHEATRE CLASSIFICATION*Professional / UnionProfessional / Non-UnionCommunity TheatreEducational InstituteSECOND CONTACT (also has library privileges) NameFirstLastStreet Address(include P.O. Box, Apt #, etc.)CityProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal CodeHome PhoneWork PhoneCell Phone/Pager #Email AddressPlease specify how Theatre Alberta can use your contact informationYou may release any of the above contact information with no prior consent.You may release my phone number(s) and e-mail addresses only with no prior consent.You may release my e-mail address(es) only with no prior consent.You may release my contact information only with prior consent.You may not at any time release my contact information.View Theatre Alberta's Privacy PolicyPAY LIBRARY FINES Fines due as of this dateDONATIONAdd a donation to Theatre Alberta - thank you!Charitable Registration Number 106693039 RR0001 Total$ 0.00 CAD
