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P ^ / L 4 I C I P R T E IN THE \A/i7\c HRTS MEMBERSHIP APPUCATION PHONE NO. _ MEMBERSHIP APPLICATIONS -- Please make sure to send yours to the appropriate Arts Council. To save con&sion, there are two separate applications below -- one for North Vancouver Community Arts Council and one for West Vancouver Community Arts 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 conmiunity. All DONATIONS will have a tax receipt issued. Supporting 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 FAMILY GROUP DONATION Please make cheque payable to NORTH VANCOUVER COMMUNITY ARTS COUNCIL, 333 Chesterfield Ave., North Vancouver, B.C. V7M 3G9. $11 $16 $26 City POSTAL CODE . Odier This is a RENEWAL SENIOR or STUDENT SUPPORTING MEMBER CORPORATE $ 4 $101 $ 51 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: · · · Theati-e Arts Painting Literary Arts · · · Music Sculpture odier (specify) · · FUm/Video Dance WEST VANCOUVER COMMUNITY ARTS COUNCIL MEMBERSHIP APPLICATION NAME ADDRESS POSTAL CODE HOME PHONE TYPE OF MEMBERSHIP Please make cheque payable to: B.C. V7T 1L3. BUSINESS PHONE INDIVIDUAL FAMILY GROUP PATRON DONATION $ 10 $ 15 $ 50 $100 WEST VANCOUVER COMMUNITY ARTS COUNCIL, 200 E. Keidi Road, West Vancouver, PHONE NUMBERS - NORTH VANCOUVER COMMUNITY ARTS COUNCIL 988-6844 WEST VANCOUVER COMMUNITY ARTS COUNCIL 922-1110 16