Membership Form

MoACT Membership
(please print this form, fill it out and mail with payment to the address below) Memberships are annual and due by June 30th of each year for the July-June membership year.

Individual Membership: $25
Theatre/Organizational Membership: $50

Name:___________________________________ Theatre Name (If you are joining as an organization):________________________________
Address:___________________________________
__________________________________________
__________________________________________
Phone #:_____________________________________
Email:_______________________________________     Theatre website:_________________________________________________
Please, Fill out and mail with payment to: MoACT
                                                                   C/O Ann Stinebaker
                                                                   1739 Redbird Cove
                                                                   St. Louis, MO 63144

MoACT Membership(please print this form, fill it out and mail with payment to the address below) Memberships are annual and due by June 30th of each year for the July-June membership year.

MoACT Membership
(please print this form, fill it out and mail with payment to the address below) Memberships are annual and due by June 30th of each year for the July-June membership year.