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MTA Individual Membership Form
Thank you for your interest in MTA Individual Membership!
Please fill out the form below. Individual memberships are $15. You may print this form out & mail to the address at the bottom of the page, or you may fill it out, submit it online, and then submit an online payment.

DO NOT INCLUDE DOUBLE QUOTES IN ANY OF THE FIELDS ON THIS FORM

Name *
Home Phone
Work Phone
Mobile Phone
Email Address *
Alternate Email Address
Address
City
State
Zip Code
Additional Information or Comments
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This project was made possible, in part, with funding by the Arts & Science Council and the North Carolina Arts Council, an agency of the Department of Cultural Resources, and the National Endowment for the Arts, which believes that a great nation deserves great art.

P.O. Box 30861 Charlotte, NC 28230
info@metrolinatheatre.org