MEMBERSHIP Posted on March 4, 2020 by NLT President Members Form Please fill this out to become a member or maintain your member dues. Membership Status*Are you a current member that needs to renew or a new member applying for the first time. New Membership Renewal Membership Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Primary Phone*Please enter your primary phone number, either regular or cell.Secondary PhoneIf available, please enter a secondary phone contact, either regular or cell.Interests* Acting Set Construction Lighting Sound Administrative Stage Management Usher Skills*Please list any skills that you think would be useful for the theatre.Membership Dues*Please select the appropriate membership type. Individual Membership $20.00 Couple Membership $25.00 Partner's Name*If you selected a couples membership please enter your partner's name. First Last
