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Become a Member

ArtsConnect Membership Form - (Print out this form using the icon on the right)

Yes, I/we want to be connected!

Please sign me/us up _____ or renew my/our membership ____

Name: ______________________________________________
 
Name of group(if applicable) _____________________________
 
Contact person: _______________________________________
 
Address: ____________________________________________
 
City: ________________________ Postal Code:____________
 
Phone: _____________________________________________
 
Fax: _______________________________________________
 
Email: _____________________________________________
 
Website: ___________________________________________
 
Discipline/Interest: ___________________________________
 
Contact info to be put on ArtsConnect website,
besides group name (If applicable):
_________________________________________________
 
Date: ____________________________________________
Membership $50.00.
Payment for the current calendar year enclosed: _____
Note: Cheques are to be made payable to:
"ArtsConnect Tri-Cities Arts Council"
and mailed with Membership forms to:
ArtsConnect
2601 Lougheed Highway,
Fernwood Lodge, Riverview Lands, Coquitlam, BC V3C 4J2
Donations are gratefully accepted and a Charity Receipt will be mailed back to you.
Questions? contact ArtsConnect at This email address is being protected from spambots. You need JavaScript enabled to view it. or 604-931-8255
Thank you!