THE ARTS COUNCIL OF THE BLUE RIDGE
2007 Artist Member Registration

Date:______________________

Name:_______________________________________________________________

Address: _____________________________________________________________

____________________________________________________________________

E mail:_________________________________*

Phone: ________________________________

Web Site:______________________________

Medium:______________________________________________________________

I am interested in serving on The Arts Council board:
Yes ______ No _____

Would you like to receive e-mail from us offering information on arts and cultural news and events of which you may be interested?_______________

Enclose a check for $30 & Mail to The Arts Council of the Blue Ridge
20 East Church Avenue
Roanoke, VA 24011
Phone (540) 342-5790
Fax (540) 342-5720
www.theartscouncil.org

The Arts Council of the Blue Ridge is a non-profit organization whose mission is to
advance arts and culture in the region by providing leadership in
· community cultural planning
· advocacy and promotion
· educational programming
· services for member organizations & individual artists

* The Arts Council of the Blue Ridge will not sell, trade, or rent the personal information you provide to The Council. The Council may share your e-mail address with other arts and cultural member organizations whose services and products might be of interest to you.

09/2005