NAME _________________________________________________________________

ADDRESS ______________________________________________________________

CITY ___________________________________________ STATE _____ ZIP _______

PHONE - HOME ___________________WORK___________________ CELL _______________

EMAIL ADDRESS ______________________________________________________

ARE YOU A PRODUCED PLAYWRIGHT? _____
ARE YOU A PUBLISHED PLAYWRIGHT? _____

CREDITS (OPTIONAL) __________________________________________________

______________________________________________________________________

______________________________________________________________________

WHAT EVENTS/ACTIVITIES WOULD YOU LIKE TO SEE ALAP DO? _________

______________________________________________________________________


WOULD YOU BE WILLING TO HELP WITH ALAP EVENTS? YES___ NO___


PLEASE INDICATE COMMITTEES/EVENTS IN WHICH YOU ARE INTERESTED:

___ READING FESTIVAL ___ BIMONTHLY NEWSLETTER

___ IN OUR OWN VOICES ___ MEMBERSHIP DIRECTORY

___ C. BERNARD JACKSON AWARD ___ PUBLICITY

___ SOCIAL EVENTS ___ PROFESSIONAL SYMPOSIUMS

___ MAILING MEETINGS ___ PUT ME WHERE YOU NEED ME!

Please return this form, along with your check for $40.00 (students $20.00; please enclose copy of current ID; lifetime membership $275.00) payable to Community Partners fbo ALAP to ALAP, 7510 Sunset Boulevard #1050, Los Angeles, CA 90046.

ALAP membership dues are tax-deductible.