Membership Type *

Last Name * First Name * Middle Init.
Legal Name/Legal Entity Classification * Soc. Sec No *
Gender * Marital Status * Date of Birth *
Home Phone Cell Phone * Work Phone
Email * Ethnicity:

HOME ADDRESS INFORMATION: BILLING ADDRESS INFORMATION (if different):
Street Address * Street Address
Apt, Suite, Bldg. Apt, Suite, Bldg.
City * City
State * State
Postal / Zip Code * Postal / Zip Code
Country * Country

Check theatre venues you have worked in:
Experience
Affiliation:
Position
Organization Name Other Union Affiliations:

REPRESENTATION INFORMATION (if applicable):
Agency Name First Name Last Name
Phone Fax Email
Street Address Apt, Suite, Bldg.
City State Postal / Zip Code
Country

How were you referred
to SDC?
SDC and AGMA have a reciprocal agreement.
Are you a current member of AGMA?  

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