AITA/IATA asbl

Membership Application Form

Please fill in the form below. If you have any further information to add to your application please either email it to or send by post to the AITA/IATA asbl Vene 6, 10123 Tallinn, Estonia

Person submitting this application

Last name ………………………………………………………………………………………….

First name ………………………………………………………………………………………….

Phone …………………………………………………………………………………………

Fax …………………………………………………………………………………………

E-mail …………………………………………………………………………………………

Type of membership:

Affiliate Member

· Affiliate Members are national organisations that are working towards establishing national representation for their country or are organisations that represent amateur theatre in an autonomous region as defined by the United Nations

· Affiliate Members have 2 votes at the Biennial World Congress and General Assembly

· Affiliate Members pay an annual membership fee (information enclosed)

· Affiliate Membership is subject to ratification by the General Assembly

National Centre (ratified as an Affiliate Member by the General Assembly in ...... )

· National Centres represent amateur theatre in their countries

· National Centres have 6 votes at the Biennial World Congress and General Assembly. Membership is subject to ratification by the General Assembly

· National Centres pay an annual membership fee (information enclosed)

· Full membership begins after ratification by the General Assembly

· If an organisation claiming to represent amateur theatre in its country wishes to apply for Full Membership of AITA/IATA asbl(and no other organisation is fulfilling that role), they will initially be given Affiliate Member status for two years. During this period an AITA/IATA asbl Regional Representative or Council Member will check the eligibility of the organisation

NAME of ORGANISATION

MAILING ADDRESS:

ZIP/POSTAL CODE:

PHONE:

FAX:

E-mail:

Web site:

Please list the names and responsibilities of your Board or Committee:

Who will be the AITA/IATA asbl contact within your organisation?

When was your organisation established:

Is your organisation funded or monitored by another organisation? If so please give details:

Does your organisation have a mission statement? If so please give details:

What are the main activities of your organisation?

Who are your members? Please list below eg amateur theatre groups, regional amateur theatre associations etc

This application will be submitted to the AITA/IATA asbl Executive Board and Council for approval and is subject to ratification by the AITA/IATA asbl General Assembly. Payment will only be requested once membership has been officially accepted.