Online Membership - Sign Up

IMPORTANT! First, answer this question before proceeding:

Were you previously a member of The Actors' Network?

If Yes, then please log in to reactivate your membership.

If Yes to the above question, but you do not remember your username and/or password, please contact our office with your stage/full name and your current contact phone#.
Thank you!
Fill out this simple form completely to become an On-Line member of The Actors' Network. As you fill out the Online Membership application below please note that all required fields have been bolded. Your application cannot be accepted if these fields have not been populated.

Legal Name: (for billing purposes)
Stage Name: (if different)
Address:
City, State, Zip:
Country: (if non-US only)
Main Phone #1:
Secondary Phone #2:
Email address:
Web Address:
Gender: Male Female
SSN: (last 4 digits)
Preferred User Name: (5-10 letters/numbers)
Password: (5-10 letters/numbers)
Ethnicity: African
Asian
Caucasian
Eurasian
Hispanic
Nat.American
Other:
Age Range: to
Union Membership: SAG SAG Eligible AEA AFTRA AGMA AGVA ACTRA BEA
Other Unions:
University attended: (BA or MFA in the arts only)
Casting category (female): IngenueLeading WomanCharacter Woman
Casting category (male): Younger Leading Man Leading ManCharacter Man
Referred by:
TAN Member referred by:
Industry Person referred by:
Other person or source of referral:

I, the undersigned, accept the Actors' Network On-Line membership policies. I further understand that The Actors' Network reserves the right to discontinue my membership upon the expiration of each term. I also understand that proliferation of my User Name and Password to non-members are grounds for immediate termination of my membership without refund. The staff of The Actors' Network has instructed me to visit my personal Member Profile online and complete my profile. Should I choose to not act upon this, The Actors' Network is not responsible for my information being unavailable to the industry players at large who may be seeking to interview, audition or represent me as an actor.

Read and understood as to form: (initial here)

Select your Actor's Network membership length:

One Year ($60)
Two Years ($100)

Payment is via Authorize.net (by use of your credit card) after your membership application is submitted.

Automatic Renewal (optional)


While the Auto-Renewal form is “optional” we highly recommend it. This will ensure that your membership will not be interrupted at any point.

I hereby authorize The Actors' Network to automatically renew my On-Line membership. I understand that the Actors' Network will email me within (5) business days of my membership expiration date. At that point I have the option to terminate my membership and my card will not be charged. If I choose not to terminate my membership by email then an automatic renewal of my online membership will be processed with the credit card information initially provided by me.

I fully understand that once The Actors' Network renews my membership for a minimum of (1) year up to two years, there are no refunds provided. Read and understood as to form:

Re-enter name as confirmation: