ALTERNATE PERFORMANCE VENUE
NAME_________________________________________________________________________
PHYSICAL ADDRESS _____________________________________________________________
CITY______________________________ STATE________ ZIP___________________________

OTHERS TO RECEIVE DTL RELATED EMAILS
NAME____________________________ E-MAIL_______________________________________
NAME____________________________ E-MAIL_______________________________________
NAME____________________________ E-MAIL_______________________________________
NAME____________________________ E-MAIL_______________________________________

DATES OF PERFORMING SEASON
____ YEAR ROUND (CONTINUOUS) _____ VARIABLE (NO SET SEASON BEGINNING OR END DATE)

____ OTHER FROM ___________ TO ____________ (FILL IN SPECIFIC MONTHS, E.G. OCT-APR)

YEAR FOUNDED ____________________

CURRENT LEADERSHIP
ARTISTIC HEAD & TITLE_________________________________________________________
ADMINISTRATIVE HEAD & TITLE__________________________________________________

CURRENT ANNUAL BUDGET ____________________

AEA CONTRACT (IF ANY, PLEASE SPECIFY TYPE & CATEGORY) ____________________

What types of theatre do you produce?
(Please select all categories that represent a minimum for 15% of your programming activities over a 3 year period).
___ African- American ___ Jewish ___ Student/Youth Programs
___ Asian-American ___ Latino/Hispanic ___ Touring
___ Classical ___ Multicultural ___ Translations/Adaptations
___ Contemporary ___ Musical Theatre ___ University Affiliation/Training Prog.
___ Disability-Based ___ Native American ___ Theatre for or by Women
___ Ensemble ___ New Work ___ Theatre for Young Audiences
___ Experimental ___ Political/Social Issues ___ Other _______________________
___ Gay/Lesbian ___ Religious ___ Other _______________________

MEMBERSHIP CATEGORIES & LEVELS
Valid through August 31, 2006

Theatre Memberships
(based on Annual Operating Budget)
_____ Under $100, 000 $50.00
_____ $100,000 - $249,999 $75.00
_____ $250,000 - $499,999 $100.00
_____ $500,000 - $999,999 $125.00
_____ $1,000,000 & Over $250.00
_____ Industry Related Membership $100.00

PLEASE RETURN THIS FORM WITH YOUR CHECK PAYABLE TO DALLAS THEATRE LEAGUE TO:
Sammons Center for the Arts
ATTN: Dallas Theatre League Membership
3630 Harry Hines Blvd.
Dallas , TX 75219

Or E-mail: info@risktheinitiative.com