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P-^/î7lciPflTE The North and West Vancouver Community Arts Councils are assisted by the Cultural Services Branch, B.C. Ministry of Municipal Affairs, Recreation and Culture, and the three North Shore Municipalities. | | J ' " T H E f1RT *S MEMBERSfflP APPLICATIONS -- Please make sure to send yours to the appropriate Arts Council. To save confusion, there are two separate applications below -- one for North Vancouver Community Arts Council and one for West Vancouver Community Arte Council. If you wish to join both, all to the good. Your patronage enables you to participate in our special programs, receive our newsletter and support the cultural development of your community. All DONATIONS will have a tax receipt issued. SuRWrting and patron members will receive a tax receipt for amount minus membership costs. NORTH VANCOUVER COMMUNITY ARTS COUNCIL NAME ADDRESS Are you a resident of District This is a NEW membership _ INDIVIDUAL 2 OR MORE GROUP DONATION Please make cheque payable to NORTH VANCOUVER COMMUNITY ARTS COUNCIL, 333 Chesterfield Ave., North Vancouver, B.C. V7M 3G9. Include this section with appropriate application: ARE YOU INTERESTED IN BECOMING A VOLUNTEER? If you are an artist, please let us know your SPECIAL INTERESTS: · · · Theatre Arts Painting Literary Arts · · · Music Sculpnire other (specify) MEMBERSHIP APPUCATION · · FilmA'ideo Dance SAME ADDRESS $11 $16 $26 . City PHONE NO. MEMBERSHIP APPUCATION _ POSTAL CODE . Other This is a RENEWAL SENIOR or STUDENT SUPPORTING MEMBER CORPORATE $ 4 $101 $ 51 WEST VANCOUVER COMMUNITY ARTS COUNCIL INDIVIDUAL FAMILY GROUP BUSINESS PHONE _ PATRON DONATION NAME _ $ 10 $ 15 $ 50 $100 ADDRESS POSTAL CODE HOME PHONE TYPE OF MEMBERSHIP B.C. V7T 1L3. PHONE NUMBERS Please make cheque payable to: WEST VANCOUVER COMMUNITY ARTS COUNCIL, 200 E. Keith Road, West Vancouver, NORTH VANCOUVER COMMUNITY ARTS COUNCIL 988-6844 WEST VANCOUVER COMMUNITY ARTS COUNCIL 922-1110 12