SOUTHWEST PERFORMING ARTS PRESENTERS
MEMBERSHIP INFORMATION

Please print!

Organization: ___________________________________________________________________
Contact Name: _________________________________________________________________
(only one contact person per organization)
Title: _________________________________________________________________________
Address: ______________________________________________________________________
City: _______________________State:______________________  Zip: ________________
Phone: ________________________________   Fax: __________________________________
Email: ___________________________________
Website: __________________________________
# Full Time Staff: _________           # Part Time Staff: _________
Artist Fee Range: ______________________________       Total Fees Paid: ________________
Facilities:                                          Seating Capacity:
______________________________________               ______________________
______________________________________               ______________________
______________________________________               ______________________

MEMBERSHIP DUES 
(based on previous year's artist fees, valid June-May)
$150,000 up -         		       $200
$50,000-$149,000 -          	       $100
Under 49,000 -                   	$75
Institution Membership -              $_______
     
Membership Dues:  	                           ________________
Institution Membership:                            ________________

                                             TOTAL ________________

Make checks payable to: Southwest Performing Arts Presenters
                                        EIN 20-0672917

Mail to:
Jim Clark, SWPAP Treasurer
Lutcher Theater
P.O. Box 2310
Orange, TX 77631