Performing Arts Company / Individual Artist Application
For Arts:Earth Partnership

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For printable .PDF version (for mail or faxing application) please click here.

Thank you for joining Arts:Earth Partnership. With this commitment you are making a bold step toward achieving environmental sustainability. We welcome you to the collective.

Performing Arts Company / Individual Artist
Application For Arts:Earth Partnership

I'm applying as an:	Individual Artist Company
Name:
Type(s):	Independent Artist   Theater Co.   Dance Co.   Music Group   Other:
If Independent Artist what discipline?	Performance Artist Musician Dancer Visual Artist Other
Street:
City:		State:	ZIP:
Phone:		Fax:
Web Address:
AEP Contact Person:		Title:
Email:
Is company non-profit?	Yes No	501(c)3 exempt?	Yes No
What year was organization established?
# of Annual Public Performances:		Approx. Annual Operating Budget $

Last three public performances with paid admission:

Public Performance 1
Show Name:		Date(s):		# of Shows:		Ticket Price $
Venue Name:				Venue Location (city):
Public Performance 2
Show Name:		Date(s):		# of Shows:		Ticket Price $
Venue Name:				Venue Location (city):
Public Performance 3
Show Name:		Date(s):		# of Shows:		Ticket Price $
Venue Name:				Venue Location (city):

Some Facts About You:

Do you have a home Office / Studio or do you use / rent Office / Studio space somewhere?
Does your organization currently recycle solid waste?	Yes No
(Optional) Please briefly describe why your organization wishes to commit to participation in AEP. (All information provided here, except venue name for purposes of member roster, will be held in strict confidence) Use additional pages as necessary.

Our 2 Year Certification Fee for individual artists and nomadic performing arts companies is as follows:

	Individual Artist studio/gallery	$50
	Nomadic Companies	$100

Email Address:
Desired Password:	Used to access the Materials Exchange Bulletin Board

Billing Information

Billing First Name:
Billing Middle Name:
Billing Last Name:
Billing Street Address:
City:
State:		ZIP:
Country:
	I will send payment by check Santa Monica based facilities and artists will receive a rebate, equal to your first of the 2 year fee, within 2 months of your payment. This rebate is a subsidy from the City of Santa Monica. If paying by credit card, after clicking Submit Form below, please proceed to PayPal to make your payment

Total:

Arts:Earth Partnership
C/O Electric Lodge
1416 Electric Avenue
Venice, CA. 90291
FAX to: (310) 306-1117

Make checks payable to: Electric Lodge and print "AEP" in the memo line.

Arts:Earth Partnership fully respects your privacy. AEP will not sell, trade or reveal your information without your consent. We will list you as a member.