Membership form for PineRidge Arts Council

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2013 PRAC on-line membership form ~ complete form and choose to pay by cheque or PayPal after you register

First Name	A value is required.	Surname	A value is required.
Address	A value is required.	Group
City \| Town		Postal Code eg L1V 6P7	Invalid format.A value is required.
Phone Number	A value is required.	Individual $20 Seniors (60+) $15 Youth (under 19) $5 Groups $30 $ Donation
E-mail	A value is required.Invalid format.	Website
Please check your main arts activity/interest: Crafts Dance Friend of the Arts Literary Arts Music Performing Arts Photography Sculptor Theatre Visual Arts Heritage Other If you are a teaching artist and would like to be listed on our instructors page please e-mail the details. PRAC, a volunteer group, is always looking for member participation. Please check a box to let us know if you are interested in being on a Committee Assist at an event \| function Members agree to permit any photos taken of the artist, performance or work taken on behalf of PRAC to be used to promote the artist, the arts council or events in flyers, publications and on the web site. Members who include their e-mail address will receive mail from the arts council, but the list is not sold or shared. Thank you for your support.
Please mail your cheque to PRAC 650 Kingston Road P.O. Box 18258 Steeple Hill Postal Outlet Pickering, Ontario L1V 1A0			2013 Membership Fees Individuals $20 Seniors (60+) $15 Youth (under 19) $5 Groups $30

The PineRidge Arts Council is a non-profit volunteer organization dedicated to enhance the quality of life
within the community by developing widespread appreciation, support and involvement in the arts since 1989.

PineRidge Arts Council
650 Kingston Road
P.O. Box 18258 Steeple Hill Postal Outlet
Pickering, Ontario L1V 1A0
Canada

PRAC President • ArtScene Editor • Webmistress • Phone 905.509.3855