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TANYS membership year runs from January to December. Renew now for 2022! ✓ Check out our membership levels and see what fits for you and/or your organization! R e n e w N o w f o r 2 0 2 2 ! TANYS MEMBERSHIP FORM ORGANIZATIONAL - January thru December Year ______ Organization________________________________________________________________ Mailing address _____________________ Contact person ______________________ City _______________ St. ___ Zip _____ Mailing address ______________________ Org. Phone (___)_____________________ City _______________ St___ Zip ________ Division: ❑ Secondary ❑ Community Email _______________________________ ❑ College ❑ Children’s Contact Phone (___)___________________ Org. Email _________________________ LEVEL (check one) Website ____________________________ Mail to: TANYS, PO Box 4143, Rome, NY 13442 Membership Amount _________________ For Office Use Rcvd ______ Check # ______ For Office Use Rcvd ______ Check # ______ TANYS MEMBERSHIP FORM INDIVIDUAL – January thru December Year________ Name______________________________________ Phone (___)__________________ Mailing address ______________________________ County _____________________ City ______________________ St. _____ Zip _________ LEVEL (check one) Email __________________________________________ ❑ Current NYSTEA member $20 Theatre Group Affiliation __________________________ ❑ Student $20 ❑ Crew (Individual) $30 Please consider adding a donation to TANYS’ ❑ Cast (Household- 2 adult/2 children) $75 ongoing support of academic and community theatres ❑ Producer $125 ❑ Star $250 ❑ Angel $500 in New York State. All donations are tax-deductible. Membership Amount ____________ Donation + ____________ Total Amount Enclosed ____________ ✓ Mail to: TANYS, PO Box 4143, Rome, NY 13442 Please print clearly Please print clearly IMPORTANT -- Please allow 10-14 days for membership processing. Basic (for all of 2022) $75 Producer ❑ ❑ $125 Star ❑ $175 Angel ❑ $275 & up