This form is also available in PDF format - Better quality print out, includes Purposes and Qualifications in one document.

Membership Application and Renewal
Annual Dues, Jan. / Dec.   20__
Voting Members
Craftspersons and Pyrotechnic Operators - $180.00
Non-Voting Members
Craftspersons and Pyrotechnic Operators - $80.00
Contributors - $300.00
Benefactors - $500.00
Voting Non-Voting Renewal  Amount

General Information
Name
Business
Address line#1
Address line#2
City
State
Country
Zip
Phone
Fax
Page
E-mail Address
Profession
May we list your name in our Newsletter and on our Website in connection with current entertainment industry projects? Yes   No

Signature

requires your signature (not typed), please sign after printing

Professional Experience  (new members only)
Job Title
Union #
License #
Type
State
Country
List professional experience as special effects or mechanical effects (or supply resume)

Send completed form with check or money order to:
                                   ASEPO                                  
The Alliance of Special Effects and Pyrotechnic Operators, Inc.
12522 Moorpark Street, Suite 111, Studio City, California 91604
 

 

Browsers below 4.0 use <File> <Print>. If you have difficulties using this form, send a self addressed, stamped envelope to ASEPO at the above address with a note requesting a membership form. Contact the ASEPO webmaster for web site related issues.

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