MATC Membership Application/Renewal Form 2008

(fill out this form and then print & mail.)

Name:

Institution:

Mailing Address:

City:

State:

Zip:

Phone (office):

Phone (home):

Fax Number:

Email Address:

This application is for...MATC membership:

 MATC Membership: (New or Renewal; includes Theatre History Studies .)
Note: All conference presenters and session chairs must be members of MATC.

 Faculty or non-student:

$40.00

 Student:

$30.00

 

 

 

Total amount enclosed:

 

Make checks payable to:

Mid-America Theatre Conference

MATC Tax Exempt Number:
 
42-1268363

No refunds after February 17, 2008

Send to:

Ann Haugo
Assistant Professor
School of Theatre
Campus Box 5700
Illinois State University
Normal, IL 61790

Office:309-438-3955
Email:  Email