Membership Application General Information Organization or Applicant Name Address Phone Website Do you produce in a variety of venues (nomadic)? Nomadic Permanent Your Los Angeles region (If you produce in more than one geographic region, select "Nomadic") --- not set --- Downtown / Boyle Heights Hollywood / Mid-City Nomadic Northeast LA North Hollywood / Burbank Pasadena / Altadena / San Gabriel Sherman Oaks / Encino South LA Westside / Beverly Hills Nonprofit or For-Profit Nonprofit For-Profit For Nonprofits Only Mission Statement Tax ID # Year of your most recently completed Form 990 or 990-EZ. If applying as a Nonprofit, enter your annual revenue as per your most recently completed Form 990 or Form 990-EZ. Membership Category View definitions and eligibilty requirements of these membership types here. If you do not qualify for your desired membership level, you can type a Statement of Merit in the field below to appeal for eligibility exemption. You are applying for which Membership Type? --- not set --- Member (Nonprofit) Member (For-Profit) Member (Individual) Associate If you do not qualify for your desired memership type, a statement of merit can be entered below. Qualifying Productions List your three (3) qualifying productions. If you are applying for Associate, you can skip this step. EXAMPLE: 1) Hamlet, Atwater Village Theatre, 75-Seats, AEA-99-Seat Plan, Opened 09/20/14, 23 Performances, $12,000 budget; Artistic Discipline & Affiliations Primary Artistic Discipline Applicant's Professional Affiliations LA Stage Alliance Theatre Communications Group Western Arts Alliance Network of Ensemble Theaters Dramatist Guild Other Certification I certify the following: The information in this application is true and correct to the best of my knowledge. I will treat League members with civility and respect. I am an authorized signatory with fiduciary responsibility for the applicant (if applicable). My typed name below will serve as my legally binding signature.