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MEMBERSHIP with Creative and Performing Arts Center Inc.
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Membership Type.
(
*
) denotes required fields.
Type
*
-- Select One --
$49.00 Fan
$50.00 Stage Hand
$100.00 Designer
$250.00 Supporting Role
$500.00 Leading Role
$1000.00 Co-Producer
$3000.00 Producer
$4500.00 Exective Producer
Amount
*
$
Personal Contact Information.
(
*
) denotes required fields.
First Name
*
Last Name
*
Address
*
Address 2
City
*
State
*
Select a State
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AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - Dist. of Columbia
FL - Florida
GA - Georgia
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Zip
*
Note: Check the circle for the best way to contact you.
Email Address
*
Home Phone
Work Phone
Cell Phone
MEMBERSHIP form process
1. Collect Member Information
2. Payment Process
3. Verify
4. Process Complete. Thank You.
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