Membership Application

Fill out the form, print it, and send it along with your check or money order to:
Pleiades Theatre Company, P.O. Box 983, Louisville, KY 40201-0983

Name:
Spouse/Partner's Name:
Mailing Address:

City/State/Zip:
Telephone: (Day) (Evening)
Fax & Email: (Fax) (email)
Membership Level:
Employer:

Does your employer have a matching grant program?Yes No Don't Know
Interests:
(check all that apply):		 Acting Design Directing Fundraising Marketing

Playwriting Production Volunteering Workshops Other

 
Be sure to print the form before you clear it.
Thank you for becoming a member of Pleiades Theatre Company!

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