MEMBERSHIP APPLICATION FORM INDIVIDUAL
CORPORATION
STUDENT
$35
ORGANISATION Not for profit
$195
Includes 1 Profile ID # School:
$95
$170
Includes 2 Profiles
INDIVIDUAL
$425
PROFESSIONAL
$925
Includes 1 Profile The basic personal membership
Includes 1 Profile Higher level of individual support
SUSTAINING
Includes 4 Profiles The basic corporate membership
CONTRIBUTING
Includes 6 Profiles Higher level of corporate support
CONTACT INFORMATION Name of Member:
(Individual or Corporation)
Name of Contact Person or Name of Company/ Organization (if applicable) Street: City: Province:
Postal Code:
Phone:
Fax:
2e Phone:
Web:
Email:
CAUCUS AFFILIATION EACH CITT/ICTS MEMBER IS ENCOURAGED TO JOIN ONE OR MANY CAUCUSES, ACCORDING TO THEIR PROFESSIONAL INTERESTS, AND TO ACTIVELY PARTICIPATE IN THESE. CAUCUSES HELP DETERMINE PROGRAMMING, PARTICIPATE IN OISTAT SPONSORED INTERNATIONAL PROJECTS AND ARE ACTIVE IN STANDARDS REVIEW AND ADVOCACY. PLEASE SELECT ALL AREAS PERTINENT AND OF INTEREST TO YOU.
Architecture Education Management Sound
Automation Imagery (projections, etc,) On Deck Video
Design Lighting Props Wardrobe
PAYMENT I AM PAYING BY Card number
VISA
MASTERCARD
CHEQUE (payable to CITT/ICTS) Expiry
Name on Card Signature
Date
Mail this form to CITT/ICTS National Office, 340-207 Bank St. Ottawa, ON K2P 2N2 or fax to (613) 482-1212 Questions (613)482-1165 or 1-888-271-3383 or info@citt.org