Hispanic Organization of Latin Actors (HOLA)
   Membership Form

Member Information

* Legal First Name: * Legal Last Name:
* Stage First Name: * Stage Last Name:
Performer's Union or Guild: AEA
Other Association(s):
* Street Address:
* City:
* State:
* Zip:
* Contact Number:
* Email Address:
Signed Agent: Signed Agent Phone:
Signed Manager: Signed Manager Phone:
* Age Range: 18-24 25-34 35-45 46-55 56-65 66+
* English: Fluent Semi-fluent Not applicable
* Spanish: Fluent Semi-fluent Not applicable
Other Languages:
* Singer: Yes No
Vocal Range:
* Dancer: Yes No
Dance Type:
Special Skills:
How did you hear about HOLA?

Membership Type

Annual membership (includes HOLA directory) $125
You will be contacted with your Member # and Password to access HOLA Pages
An additional annual fee of $15.00 to be listed as a voice-over artist on the HOLA Pages directory. This category is recommended for those who work extensively in this field.

Please submit your picture and resume via e-mail to HOLA ([email protected]) as a jpeg and your resume as a Microsoft Word document (.doc format).
Total: $125.00

Credit Card Information

* Cardholder Name:
* Card Type:
* Card Number:
* Expiration Date: / * i.e. mm/yy
* Security Number: