POAC MEMBERSHIP FORM 2007

Print this form and mail with payment to:

Port Orford Arts Council
P.O. Box 771
Port Orford, OR 97465

The Port Orford Arts Council (POAC) is a not-for-profit organization that promotes
the cultural life of the Port Orford community.  POAC sponsors professional
performances, community music nights, art shows, book signings,
Arts Festivals,  free art classes for our youth and adults.

Please join POAC and support us in this work.
   Date:______________________________
Name  
(1 name for Individual membership; 2 names for a Family membership)
Business Name  
Address  
Telephone  
E-mail  
Web Site Address  
__  I am an artist, musician, writer, performer, crafter
 __  I want to encourage art, music, writing, performance arts, crafts 
My art medium, or the kinds of activity I  enjoy is:

__  I wish to receive POAC information by e-mail
__  I am interested in participating in POAC activities
__  I prefer to make a donation, but not be actively involved in POAC activities
__  I am interested in having my own page on the POAC web site
     (Business Members and above)

Membership fees:   Individual $15     Family $25     Business $30

Please consider a higher level of support if you are able: 
Friend-$50   Benefactor-$100   Patron-$250   Angel-$500   Other _______