2016-2017 MEMBER DUES


Please note that Troupe members of 35+ years are exempt from paying dues.   However, if you choose to pay, your dues will be forwarded as a donation to the BHT Fund.  If you are not paying anything and only need to check your Blue Book information, you will not be able to do that here, because this form cannot accept a $0 payment.  We will forward you a separate form for you to check in the very near future. Thank you and sorry for any inconvenience!



Active Member Dues - $80
 
Associate Member Dues (Spouse or inactive Trouper) - $50
 
Additional Donation
$
 
Total*
$
 
If you included an additional donation, where should your contribution be applied?
If you selected "Other," please specify here:
Salutation
First Name*
Last Name*
Address*
City*
State*
Zip*
Phone*
Email*
Confirm Email*
Card Type*
Card Number*
Expiration Month*
Expiration Year*
Card Security Code*
Member Information Update
Has any contact info changed since the last Blue Book? [Please provide detail of all changes in the appropriate section below.]*
Please check all that apply for any HOME info changes:
Provide HOME changes here. [If no changes, leave blank.]
Please check all that apply for any WORK info changes:
Provide WORK changes here. [If no changes, leave blank.]
Please check all that apply for any OTHER info changes:
Provide OTHER info changes here. [If no changes, leave blank.]
Who is this payment for? (List name and membership type for each member covered by this payment.)
Where should BHT print correspondence be sent?*
Do you require a mailed newsletter? [ All newsletters will be delivered by email unless a hard copy is required and requested. ]*
Send me the electronic newsletter at:*
Send my spouse the electronic newsletter at: [This question only applies to couples submitting dues together. ]

You may also print this form and mail it to:

Blue Hill Troupe

P.O. Box 286800

Yorkville Station

New York, NY 10128