Membership Type
New Membership
Renewed Membership

First and Last Name*

Organization Name

Street Address*

City*

State*

Zip Code*

Phone Numbers -- designate (c) for cell, (h) for home, (o) for office

Email Address*

Website

Region

Click here for a list of the ITA Regions.

Which Region Do You Represent*
Region 1 (Northwest)
Region 2 (Northeast)
Region 3 (Greater Chicago)
Region 4 (Central West)
Region 5 (Central East)
Region 6 (South)
Out of State

Primary Interest Area - Check the ONE that is of most interest to you.*
Theatre for Young Audiences
Secondary School Theatre
College/University Theatre
Creative Dramatics
Community Theatre
Professional Theatre
All

ITA Membership Type*
Student (include a copy of ID) - $15
Senior (65+) - $35
Individual - $50
Small Organization (budget less than $25K) - $90
Large Organization (budget more than $25K) - $140
Associate Corporate Sponsorship - $250
Corporate Sponsorship - $500
Lifetime (for individuals only) - $750

Student ID if applicable

File Size: 5000KB Maximum
File Types: .jpg .jpeg

Select Method of Payment*
Check by Mail
Credit Card (Note: Carefully read the instructions for how to process Credit Card payments below.)
Please Call Me to Process Payment Over the Phone

Payment Instructions
To process your payment, please do the following:

Checks:
Make payable to "Illinois Theatre Association" and send to:

Illinois Theatre Association
123 Mill Pond Drive
Glendale Heights, IL  60139

Credit Cards:
Click here to be directed to Paypal.  You do not need to have a Paypal account in order to process payment.   Note:  You will be directed to a new window.  DO NOT close out of this registration form.  After processing your payment with Paypal, return to this page to complete your registration.

Pay by Phone:
If you'd like someone from the ITA office to call you over the phone in order to process payment, call 312-265-5922 and ask for Aimee-Lynn.

What Next:
Once your payment has been processed, you will receive an official welcome email from the ITA office with specific instructions on how to access the members only portion of the ITA website.   

Questions:
Call Aimee-Lynn at 312-265-5922 or send an email to aimeelynn@illinoistheatre.org

Auto Renew Your Membership Each Year
If you are paying by credit card and would like to automatically renew your membership, please give the ITA permission by selection the appropriate option below.  Note:  Prior to your credit card being charged, you will receive an invoice from the ITA announcing that your membership is due to expire.  If you do not wish to renew, simply call the ITA office at 312-265-5922 or mail the invoice back to the ITA invoice with the words "Cancel Membership" on it.

Permission to Auto Renew Your Membership
I give permission for the ITA to auto renew my membership each year.
I DO NOT give permission for the ITA to auto renew my membership each year.