ASSITEJ SA Membership Form
Email address *
Please select your membership choice *
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Your name (individual membership) or the name of your organisation *
Your answer
If organisation, name of contact person.
Your answer
Title of contact person *
Required
Membership history *
Required
Postal address
Your answer
Physical address
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Amount paid *
Enter a number only (eg 300), or "volunteer"
Your answer
Date paid *
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Payment Reference name
What reference did you use for your payment if EFT, if relevant.
Your answer
Brief description of your work to date and your interest in theatre for children and young people
As a new member, please give as much detail as you like. As a renewing member, only give us the details of the last year.
Your answer
Name and describe your current project or productions for young audiences
Your answer
Skype handle
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Twitter handle
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Facebook
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LinkedIn
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Organisational members - if you wish other people in your organisation to also receive our newsletter, please add them here ( Name, surname, contact number and email)
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Please Note:
Please provide information on your organization, current projects and areas of interest. This information (and photographs) should be emailed to info@assitej.org.za

As a free service you are entitled to be a part of Theatre4youth, an interactive online bridge between theatre and education. Please go to www.theatre4youth.co.za for more details.

For more information on the local Organisation, please view the South African Assitej site, hosted at www.assitej.org.za and for the International organisation, go to www.assitej-international.org
A copy of your responses will be emailed to the address you provided.
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