POAC MEMBERSHIP FORM 2008

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/Langlois community.  POAC sponsors professional
performances,  fine art shows,  Artists Showcases,  the Port-Orford-cedar Expo,
the Arts & Music Festival,  the Holiday Artists Guild and art classes for our youth and adults.

Please join POAC and support us in these pursuits.
   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
My art medium, or the kinds of activity I  enjoy is:

__  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)
__ I am interested in having an email through the Arts Council-_______________@portorfordart.org

Membership fees:   Individual $20       Family $30     Business $40

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