2010 Membership Form
Annual General Meeting
Creative Connections
Event Statistics
Surveys
       Case For Support Survey
       workshop survey
       Youth and Arts Survey
       Cultural Grants Survey


2010 MEMBERSHIP
A:

    
TYPE OF MEMBERSHIP (Please note that we only promote the Arts)
Members
Friends
B:

    
PRIVATE INFORMATION FOR ARTS COUNCIL USE ONLY:
Last Name:*
First Name:*
Mailing Address:*
City:*
Postal Code:*
Phone:*
Email:
C:

 
PUBLIC INFORMATION:
I give permission to have my public information promoted.
INDIVIDUAL:

 
First Name:
Last Name:
Phone:
Email:
Website:
GROUP/BUSINESS

 
Name of Group/Business
Main Contact First Name:
Main Contact Last Name:
Public Address:
Phone:
Email:
Website:
Main Performing / Exhibiting Venue:
Box Office Number:
D:


WHAT DO YOU OFFER THE PUBLIC?  (How will the public engage in your services?)
First choice: (Please note, only first choice will appear in print)
Second Choice:
If you have selected "classes or instruction" or "group membership" please indicate your targeted age range:
If you have selected "classes or instruction" please indicate whether it is:
E:


ARTS CATEGORIES:
What is your primary Art Discipline?
Check all the boxes that apply to you: (key words / searchable words)

 
Film, Photography and New Media
Heritage and Culture
Literary Arts
Performing Arts - Dance
Performing Arts - Music
Performing Arts - Theatre
Visual Arts
Other
F:

 
MEMBERSHIP PAYMENT OPTIONS:
I will pay by:
Optional Feedback
Submit
*Required