Please fill in the information below.
NOTE: Membership is by "PAID" subscription.

*Name

Please enter your full name.

Address

*Cell Phone

Home Phone

*E-Mail

*Declaration

• By ticking this box, you agree to be bound by the rules of the Society whilst remaining a member.

*Membership Type Adult - $20 Youth (Under 18)- $10 Family - $30

The Adult, Youth & Family Membership comes with one Free Ticket for one Family Member to one of the shows for the current membership year.

Select one or more Interests

• Acting
• Backstage
• Bar
• Directing
• Front of House
• Grant Applications
• Lighting Design & Operation
• Make Up
• Poster & Billboard Design
• Production Management
• Programme Design
• Props
• Publicity
• Set Building & Design
• Sound Design & Operation
• Stage Management
• Theatre Maintenance
• Ticket Sales & Box Office
• Wardrobe
• Web Site
• Other

If "Other", please state:

Thankyou for completing your application.

Payment for Membership is to the Otaki Players bank account ANZ 06-0730-0375218-00