3321 EAST JEFFERSON AVENUE. DETROIT, MICHIGAN 48207 PHONE: 313.259.3385 FAX: 313.259-0032 EMAIL: OFFICE@PLAYERSDETROIT.ORG WWW.PLAYERSDETROIT.ORG To the Board of Governors of The Players: I hereby apply for membership in The Players, agreeing, to abide by the Articles of the Association, Bylaws, Rules and Customs, now or hereafter in effect, including code of dress for members and guests.Membership(Required)Initiation FeesSenior (30 and older) $150.00 Initiation FeeJunior (Under 30) $150.00 Initiation FeeStudent (Under 25 and full time) $50 Initiation FeeAnnual Dues Price: ($40 discount if paid in full by 9/1 or 3 installment payments)Annual Dues Price: $40 discount if paid in full by 9/1 or 3 installment payments)Annual Dues Price: Total Name(Required) Full Name Date of Birth(Required) MM slash DD slash YYYY Marital Status(Required)SingleMarriedSeparatedDivorcedWidowedSpouse's Name Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneCell PhoneEmail(Required) Business or Employer Name and City Title How long at Current Employer If less than 3 years, Previous Employer’s Name and City Send Mail to(Required) Home Business Education (Institution and Degree) Club Memberships Have you ever been rejected for a club membership?(Required) Yes No Have you ever been convicted of a felony?(Required) Yes No My interests are (Check all that apply)(Required) Acting Back Stage Costumes Dancing Directing Food Preperation Bartending Historic Preservation Makeup Lighting Sound Writing Set Design/Construction Producing Publications Properties Social Events Fundraising Rentals Building and Grounds House Set-Up Singing Caricatures Photography/Video Orchestra Signature of Applicant(Required) Reset signature Signature locked. Reset to sign again Sponsored By(Required) Endorsed By(Required) NOTE: BEFORE THIS APPLICATION CAN RECEIVE CONSIDERATION, IT MUST BE ENDORSED BY TWO MEMBERS WHO SHALL WRITE LETTERS OF RECOMMENDATION TO THE BOARD OF GOVERNORS. CAPTCHANameThis field is for validation purposes and should be left unchanged.
