MTA - Theatre Divisions

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Mississippi Theatre Association
2009 Festival Registration

Natchez, MS
January 15-18, 2009

Please complete the following form.
One Per Person

Registration Form

Step 1 Registrant Information

Name:
Address:
City:
State:
Zip:
Daytime Phone:
Email:

Select your theatre affiliation:
Theatre's name:

Step 2

MTA Membership Fee:Everyone participating in the festival must be a current member of MTA. Even if you are not attending the festival - please renew your MTA membership at this time and support your statewide theatre organization.

MTA Festival Registration: Everyone participating in the festival must enter the festival by paying a festival fee. Festival fee includes the following: free admission to 12 productions, social function on Friday and Saturday nights, breakfast and the awards ceremony.

Please indicate below if you wish to purchase a T-Shirt. T-Shirts must be pre-paid. T-Shirt $10.00.

Do you want a T-Shirt?

Select T-Shirt Size.

No Longer Available

Make a tax deductible donatation to the MTA Scholarship Fund. Enter Amount:

High school educators can obtain Continuing Education Units (CEU) for participating in the MTA Festival. Register for CEUs if not attending with a school. $35.00 for CEUs.

Community Theatre Individual Events Festival (open to all adults and
Community Theatre Division Participants. $10 per event. 2 event maximum.
Click for more information. (NEW)

Select your individual events: (limit of 2)

Enter Total Amount Due:

Step 3 If you are paying by Check, you may skip this step and Proceed to Step 4


Credit Card Holder Information
*Name:
*Address:
*City:
*State:
*Zip:
*Daytime Phone:
Credit card information:
*Credit card:
*Account number:
*3-digit verification:	last 3 numbers above signature on the back of Card
*Expiration date:	Month Year
Amount of order to be charged to Card .00

Step 4 Finalize Registraion by Clicking Below

Checks should be sent to:

MTA

c/o Stephen Cunetto

1247 Bardwell Road

Starkville, MS 39759