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How To Become A Member

ArtsConnect Membership Form

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: ____________________________________________
 
 
Payment: $5.00 for 2 years enclosed: _____

 
Note: Cheques are to be made payable to:
"ArtsConnect Tri-Cities Arts Council"
and mailed with Membership forms to:

ArtsConnect
Suite 158-2601 Lougheed Highway,
Fernwood Lodge, Coquitlam, BC V3C 4J2

Questions? contact ArtsConnect at This e-mail address is being protected from spam bots, you need JavaScript enabled to view it  or 604-931-8255

Thank you!