ACT-CO GROUP MEMBERSHIP FORM 2019/2020
Complete the form and click Submit Form button below.

SECTION 1. PUBLIC INFORMATION:
The information in section 1 may be listed on the ACT-CO website and may be given out to the public.
1 (a). Group
Name of Group:
Mailing Address:
Public Phone Number:
Website:
Public Email Address:
1 (b). Clubhouse and/or Rehersal Venue(s)
Usual Rehearsal Venue (If applicable):
Other Rehearsal Address(es):
(If any, or not listed above)
Group Studio (If applicable):
Other Studio Address(es):
(If any, or not listed above)
Studio Phone Number:  
1 (c). Performance Venue(s)
Usual Performance Venue (If applicable) :
Other Performance Venues
Name & Address:
(If applicable or not listed above)
Box Office/Tickets Phone Number:
1 (d). Annual General Meeting
Month of Annual General Meeting:

 
SECTION 2.   PRIVATE INFORMATION:
The information is section 2 will NOT be listed on the ACT-CO public website pages or given out to the public.
 
2 (a). Group Membership Fees
Groups joining ACT-CO for the first time
must also send the following documentation:
- A list of your Board of Directors (names only) with date of election.
- A current membership list (names only)
- A copy of your constitution
- A copy of your letters patent (page 1 and 2 only)

DO NOT MAIL A CHEQUE UNTIL YOU ARE ADVISED THAT
YOUR APPLICATION HAS BEEN ACCEPTED
* After Mar 31, apply for next season membership.
 
2 (b). Contact Information
Attention Groups: The information in Section 2 is for the internal use of ACT-CO and will not be published, listed on the website, or given out as public information.  These three persons will be the contacts for receiving all information from ACT-CO.  Please ensure that the persons listed will receive, manage, and circulate our correspondence accordingly.
 
Contact #1:  
Name:
Position:
Email:
Home Phone:
Other Phone (e.g. Cell):
 
Group Contact #2:  
Name:
Position:
Email:
Home Phone:
Other Phone (e.g. Cell):
 
Group Contact #3:  
Name:
Position:
Email:
Home Phone:
Other Phone (e.g. Cell):
 
2 (c). Verification
I am an elected member of the Board of Directors of , and I attest that this organization is a not-for-profit community theatre group.
Form Submitted by
(Full Name & Position):
Phone Number:
Email Address:
Confirm Email Address:

SUBMIT MEMBERSHIP FORM
Print this form and mail with cheque
To Submit this form electronically, click:
 
Make cheque payable to "ACT-CO"* and mail to:
ACT-CO Membership Chair
1210 Costigan Road
Milton  ON  L9T 6N8
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Questions/Inquiries: membership@actco.ca
* NOTE: Please make cheques payable to "ACT-CO" (or "Association of Community Theatres - Central Ontario" if you're really ambitious).
Our bank will not accept other forms of the payee.

ACT-CO Group Membership Form iVers. 1.0 Jul 11, 2017