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TWEED & AREA ARTS COUNCIL MEMBERSHIP
Member/Artist Information
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Type of Membership
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Amount Paid
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Date
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PLEASE PRINT
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Business/Organization
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Contact Person
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Position
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Name
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Last Name
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First Name
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Address
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Home
Postal Code
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Work
Postal Code
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Phone
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Home
Cottage
Cell
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Work
Toll Free
Fax
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e-mail address
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web site address
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Arts Area
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__ Dance __ Inter-Related Arts __ Media Arts __ Music __ Theatre
__ Visual Arts __ Writing & Publishing __ Other (specify)
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Speciality/Interest
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Organizations affiliated with
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What do you see as your role within the organization?
What would you like to see the Tweed & Area Arts Council do for you?
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Please make your cheque payable to the Tweed & Area Arts Council
Box 359, Tweed ON, K0K 3J0
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Membership: $25
Students: $15
Seniors: $25
Business: $40
Family: $40
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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).