OCTA Membership Application
Please fill out the form and select your level.
Membership Levels
Individual - $40
Organization - $100
Name
*
First Name
Last Name
For an organization, contact name if different from above
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
E-mail
*
example@example.com
Phone
Organization / Theatre Affiliation
*
Organization / Theatre Website
Signature
*
Clear
Signature Date
-
Month
-
Day
Year
Date
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Membership
Membership
New
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Membership Levels
*
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Individual Membership
1 Year Membership for community theatre individuals.
$
40.00
one-time payment
Organization
1 Year Membership for Community Theatre and Art Organizations.
$
100.00
one-time payment
Donation to OCTA
USD
one-time payment
Credit Card
If you have any questions, please contact us at info@oktheatre.org.
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