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MEMBERSHIP APPLICATION

OR download the Printable Application

Submit this on-line form and mail cheque to address below
Fields marked with an * are required

Individual Name/Organization:*

Organization Representative:

Street Address:*

City:*

Postal Code:*

Home Phone:

Office Phone:

Home Fax:

Office Fax:

E-Mail:*

Website Listing (Development pending, but we need your permission to include you on the site). Please provide your website address and name (for authorization) to have your website listed in our upcoming Arts Directory at www.westshorearts.org.

Website Address:

Authorization Name:

Member?:* New Member Renewal

Membership Type:* Individual - $20 Business - $30 Group - $30
(If Group) representing approx. members.

I reside in:*

Colwood Highlands Langford Metchosin View Royal

Other

As an artist my area(s) of artistic endeavour is/are:

Animation	Dance	Music	Painting
Photography	Pottery	Quilting	Sculpture
Storytelling	Theatre	Writing
Other
Teaching - mediums(s)

I would like to volunteer Yes
(Please go to Volunteer Questionaire and complete)

M E M B E R S H I P Y E A R November 1 - October 31, each year.

Membership does not become effective until payment is received.
Submit form on-line and mail Cheque with full name and address to:

West Shore Arts Council
P.O. Box 28090, RPO Canwest
Victoria, BC
V9B 6K8

Encouraging Creativity, Promoting Arts and Culture, and Preserving Heritage

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