Pumphouse Players

today's date: 08/07/08

membership information fields in italics are optional		memberships fees $20/year $100 lifetime membership payable by check or money order by sending funds to: The Pumphouse Players, Inc. PO BOX 1261 Cartersville, GA 30120 Member Benefits: access to online newsletter access to online membership directory eligible for voting in PHP affairs eligible to vote in the Annual PHP Awards able to book PHP calendar events able to apply for shows
First name
Last Name
Main Phone Number
cell phone, second line, etc...
E-Mail Address
Street Address
Apt/Suite
City
State
Zip Code
Would you like to be considered for future Pumphouse Player productions as an actor?	YES NO
Mark record as private?	YES (keep other members from seeing my data) NO (allow members to see my data)