Member Renewal Form

Name of Organization*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Business Phone*
Website URL
Primary Contact Name*
First Last
Primary Contact Email*
Personnel
Artistic Director Name
First Last
Artistic Director Email
Managing Director Name
First Last
Managing Director Email
Marketing Director Name
First Last
Marketing Director Email
Development Director Name
First Last
Development Director Email
Box Office Director Name
First Last
Box Office Director Email
Accounts Payable Name
First Last
Accounts Payable Email
Who should receive our weekly Broadcast email?
Financial Information
How Many Plays Did You Produce/Present Last Season?
How Many World Premiere Productions Did You Produce/Present Last Season?
Number of Full Time Employees
Number of Part Time Employees
Number of Season Subscribers (if applicable)
Total Audience Members Last Year (Paid and Comp)*
Total Annual Expenditures Last Year*
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