Theatre League
of South Florida
Membership Application Form

Please print out this form and mail along with check and resume and headshot to:
Theatre League of South Florida
PO Box 630656
Miami, FL 33163

FOR PRODUCING COMPANIES ONLY:
Please fill out this section and the address section below. Please attach your schedule of shows (include dates) for inclusion in the Talent Pool. Please print.

Company Name: _____________________

Contact Person:______________________

FOR INDIVIDUALS & STUDENTS ONLY:
Your RESUME MUST accompany this application! Please fill out the following and include any contact numbers you wish to appear in the Talent Pool. Please print.

Name: _____________________________

Gender: ____ male ____ female

GENERAL INFORMATION

Union Affiliations: ______________________

Address: _____________________________

City, Zip: _____________________________

Phone: _______________________________

Cell Phone: ___________________________

Fax: _________________________________

E-mail: ______________________________

Web Site: ____________________________