TWEED & AREA ARTS COUNCIL MEMBERSHIP
Member/Artist Information
Office Use Only

Type of Membership

 

Amount Paid

 

Date

 

PLEASE PRINT

Business/Organization

 

Contact Person

 

Position

 

Name

Last Name

 

First Name

 

Address

Home

Postal Code

 

Work

Postal Code

 

Phone

Home
Cottage
Cell

 

Work
Toll Free
Fax

 

e-mail address

 

web site address

 

Arts Area

  __ Dance       __ Inter-Related Arts      __ Media Arts      __ Music       __ Theatre
  __ Visual Arts       __ Writing & Publishing      __ Other (specify)

Speciality/Interest 

 

Organizations affiliated to

 

What do you see as your role within the organization?

What would you like to see the Tweed & Area Arts Council do for you?

Consent to receive emails from T&AAC   Yes __   No __

Please make your cheque payable to the Tweed & Area Arts Council
Box 359, Tweed ON, K0K 3J0

Membership: $25
Students: $15
Seniors: $25
Business: $40
Family: $40

Information collected at the time of membership and donation transaction is collected solely for the purposes of communication, verification and promotion of the Tweed & Area Arts Council (T&AAC). T&AAC does not lend, rent or sell this information and complies with Bill C-6 guidelines of the Federal Person Information Protection and Electronic Documents Act (PIPEDA).