Membership Form

Please join the

Arts & Cultural Council of the Twin Counties

today.

Your support helps to build a strong arts community,

improve our local economy, and enrich the arts curriculum in our area schools.

The Arts Council is a 501(c)3 charitable organization.

Thank you.

Print & Mail

___New ___Renewal ___Gift/Project/Memorial/Other

Choose a membership category below:

___BENEFACTOR ($1,000 & UP) ___SUSTAINER ($500-$999)

___SPONSOR ($250-$499) ___PATRON ($100-$249)

___FRIEND ($50-$99) ___ASSOCIATE ($25-$49)

Name(s): _______________________________________________

Mailing Address: _____________________________________

City____________________________State________Zip______________

Phone: _____________________________

E-mail Address: ________________________________________

(please add info@artsculturalcouncil.org to your safe sender list)

Mail registration and check payable to The Arts Council to

P.O. Box 492, Galax, VA 24333

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