NATO of MICHIGAN
MEMBERSHIP APPLICATION

Company

Contact First name

Last name

Address

Web Address

Phone

Manager(s) First & Last Name

Manager(s) Email address

Theater #1 Name & Address

Theater #2 Name & Address

Theater #3 Name & Address

Theater #4 Name & Address

Theater #5 Name & Address

Theater #6 Name & Address

Number of Screens

5.6

10.2

14.8

19.4

28.6

33.2

37.8

42.4

51.6

56.2

60.8

65.4

74.6

79.2

83.8

88.4

97.6

102.2

106.8

111.4

116

120.6

125.2

129.8

134.4

139

143.6

148.2

152.8

157.4

162

166.6

171.2

175.8

180.4

185

189.6

194.2

198.8

200

Membership Dues ($60 per screen)

Scholarship Assessment ($10 per screen)

Total Owed (dues + assessment)

To pay dues, make check payable to NATO of Michigan and mail to:

NATO of Michigan

121 W. Allegan St.

Lansing, MI 48933

Or pay via ACH (email dlawrence@karoub.com to request information).

NATO of MICHIGAN MEMBERSHIP APPLICATION

NATO of MICHIGAN
MEMBERSHIP APPLICATION