MICHIGAN CINEMA UNITED
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 ($70 per screen)

Total Owed

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 abaldacci@karoub.com to request information).

MICHIGAN CINEMA UNITED MEMBERSHIP APPLICATION

MICHIGAN CINEMA UNITED
MEMBERSHIP APPLICATION