Online Canadian Dance Directory
Organizational Member Profile Form

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So that we may serve you better, please submit the following information to complete your member profile.


Name of Organization:   (as it appears on our Membership List)

 *

Legal Name:   (if different)

  

We Are       A Collective        Incorporated Not-for-profit
                  For Profit           A Registered Charity
(Please check as required)

Primary Contact
Name & Title:		  
Direct Contact Information:  
Secondary Contact
Name & Title:		  
Direct Contact Information:  



Organizational Representation

Number of individuals your organization represents:
 

Artistic Staff: Administrative Staff:
Contract Personnel: Board Members:
Estimated Number of Volunteers:
    (working with your organization annually)
Number of Professional Members:
    (for member-based organizations only)


Additional E-Bulletin Subscribers

Additional staff and board members of your organization can receive a complimentary subscription to our E-bulletin. Please indicate their names and email addresses below.
 
Name:  
Email:  
Name:  
Email:  
Name:   
Email:  


Note:  *  Indicates a required field, or the form will not process.


Additional Dance Current Subscriptions

Organizations with annual operating budgets greater than $250,000.00 are eligible to receive more than one copy of the Dance Current Magazine. Eligible organizations are invited to contact us at any time to activate additional subscriptions.


Preferred Language   (Please check only one)

I/We prefer to correspond in:      English:      French:  
 


Please Note:  Specific information provided on this form will not be publicly disclosed.

 

                   
 

 

  Canadian Dance Assembly
 55 Mill Street, Suite 312
Case Goods Building
Toronto, ON  M5A 3C4
 Canada
Tel: 1.416.515.8444
Fax: 1.416.515.9444
E-Mail: info@dancecanada.net
Website: www.dancecanada.net