Partner Member Application

Thank you for applying as a Partner Member with the Atlanta Coalition of Performing Arts. Please fill out the information below to begin the application process.

Information about Your Organization

Organization Name*

Address*

City/State/Zip* ,

County*

Office Phone Number* 404-555-1234

Public Box Office Number*

Public E-Mail*

Your organization's Liaison to ACPA Name* E-Mail Address* Direct Phone Number*

Artistic Director Name E-Mail Address

Artistic #2 Name E-Mail Address

Managing/Executive Name E-Mail Address

Marketing Name E-Mail Address

Box Office Name E-Mail Address

Education/Outreach Name E-Mail Address

Other Staff Emails (for weekly e-news)

Partner Dues Calculation Chart Note: Your total cash operating expense is required and is not provided to the public or anyone else. It will be used to calculate your dues. Please use total cash expenses from your most recently completed fiscal year. Do not include Capital or in-kind expenses.

If your organization has questions regarding which cash expenses to include, please contact us at 404-588-9890, ext 102.

Enter total cash expenses for your most recently completed fiscal year, rounded to the nearest dollar, then click the "Calculate Dues" button.

Your dues will be calculated as 0.1% of your cash operating expense. The minimum dues rate is $150, and the maximum is $1500.

Enter Cash Operating Expense$ (Numbers only, no commas)

ACPA 25^th Anniversary Fund Donation (optional) $

2009/2010 Partners Membership Agreement

I understand the benefits of Partner Membership are directly related to my organization's level of participation in programs and services. I authorize the use of my organization's name and logo by ACPA in collaborative efforts to advocate, market and promote the performing arts community and industry. I have read and agree to the entitlements and responsibilities of Partner Membership as provided on the separate sheet included in our membership application packet.

Check this box to agree to the terms