Membership application. South Florida Theatre League in Miami-Dade, Broward, Monroe and Palm Beach Counties.

INDIVIDUAL MEMBERSHIP
Individual	$40
Individual, Union, New Member	$15
Individual, Union, Renewing member	$25
Student	$20

Name:

Title

First

Middle

Last

Suffix

Union
Affiliation:

Gender:

Address:

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City/St

Zip

Phone:

Cell:

Fax:

E-mail:

Web Site:

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Check here if you agree:
to have name listed on Web site.
to have email listed on Web site.
to have address and phone listed on Web site.

This membership application may be submitted online with a payment via Paypal. If you prefer to mail your application, then please print the attached application form and mail with check, resume and headshot to: Theatre League of South Florida PO Box 630656 Miami, FL 33163
PERFORMER:
Actor Voice-Over	Singer Musician	Dancer Multi-Lingual
DIRECTOR:
Director Choreographer	Stage Combat	Music Director
WRITER:
Critic Playwright	Screenwriter Dramaturg	Periodicals
TEACHER:
Institutional	Vocal	Private Coach
DESIGNER:
Set Costumes	Lights Sound	Props
TECHNICAL:
Tech Director Carpenter Scenic Artist	Prod Assistant Costumes	Electrician Crew
MANAGER:
House Manager	Stage Manager	Company Manager
OTHER:

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