Playwrights Atlantic Resource Centre

Registration

Please fill out the form below to begin your registration process. Note, your membership will not be activated until payment is processed. Thank you!

* required field

First Name: *
Last Name: *
Address: *
City: *
Province: *
Postal Code: *	(ie. A1B 2C3)
Phone: *	(ie. 555 123 4567)
Fax:	(ie. 555 123 4567)
Website:

Email Address: *
Password: *	(min 5 characters)
Confirm Password: *

Category: *

Company - $50/year
Playwright - $40/year
Student/Youth - $15/year
Supporting - $30/year

Once you submit your registration, you can pay online via Paypal or by mail via cheque or money order. Registration is not complete until we receive payment.

Membership receipts and information packages will be sent electronically. If you want paper copies instead, please check the following option:

I prefer hard copies of the membership receipt and package to be sent to my mailing address.

Please note, donation receipts are always sent through the mail.

PARC