Chicago Performances Membership

Your guide to Chicago Performances

May 11, 2008

Join CDMA

Organization Membership Application Form

Please update information shown for organization and primary and alternate contacts. The mailing address for all individuals is the same as that for the organization, unless otherwise shown. Contacts may have separate mailing addresses if desired.

Organizational Information

Org Name

Address

City/State/Zip

Phone

Fax

Website

Primary Contact Information (Required)

Salutation	First Name	Middle Initial	Last Name

Title/Role with applying organization

Address

City/State/Zip

Work Phone

Home Phone

Fax

Alternate Contact Information (Optional)

Salutation	First Name	Middle Initial	Last Name

Title/Role with applying organization

Address

City/State/Zip

Work Phone

Home Phone

Fax

Dues

Chicago Performances�s dues are for the calendar year and are based on organizational budget size, except for educational organizations, which are defined as �dance and music education organizations with students enrolled and which do not hire professional performers for public performances, except those performances incidental to their teaching duties.�

FY2002 Budget $
for year ending , 2007.
(Please be sure to complete the budget line above.)

Please select the appropriate budget category, and send dues check for that category.

Budget	Dues
Under $20,000	$100
$20,000 - 49,999	$115
$50,000 - 99,999	$200
$100,000 - 149,999	$240
$150,000 - 249,999	$280
$250,000 - 499,999	$360
$500,000 - 999,999	$490
$1,000,000-5,999,999	$675
$6 million and over	$1,000
Educational (see above)	$250

Your Organization's budget is:
Your dues will be $ payable to Chicago Performances enclosed.

View benefits available to:
Organizational members
Individual members
All members