Nebraska Association of Community Theatres
MEMBERSHIP FORM
All memberships good for 2 years

                ___INDIVIDUAL-$20 open to any individual interested in community theatre
                                     

                ___FAMILY-$35 includes up to 4 immediate family members in the same household
                              

               ___THEATRE-$40 open to all community theatres organization in Nebraska
                                  

               ___ASSOCIATE-$25 open to any individual or organization that does not qualify for other memberships
                                     

Name:_________________________________________________________

Address:_______________________________________________________

E-Mail:______________________________Phone:_____________________

Theatre Affiliation:_______________________________________________

Please make checks payable to NACT and mail to:

Suzan DeCamp, NACT Treasurer
324 Kelly Street, St. Paul, NE 68873

or

Karla Ott,Membership Chair
908 Nebraska Ave.,York, NE 68467