Partner Member Application

Thank you for applying as a Partner Member with the Atlanta Performs. 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 Atlanta Performs 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

Enter Amount Due$ (Numbers only, no commas)

Atlanta Performs Donation (optional) $

2010/2011 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 Atlanta Performs 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