Membership Application Form

MEMBERSHIP FORM PO Box 2123 Montrose CO 81402-2123
Become a member and support future programs and be on our mailing/emailing list! We are a non-profit 501(c)3 organization. Membership contributions are tax-deductible within IRS guidelines. Please complete this form by typing in your information online, print it, and include it with your check made out to Montrose Arts Council, and mail it to the above address.

Name:
Address:
City:	State: Zip:
Phone:		Email:
Your Mailing and Email Addresses will be used to notify you of future MAC events but NOT to be distributed to other organizations. Periodic Emails will be addressed to "Members of Montrose Arts Council" with your address as a Blind Copy (Bcc). We will forward information from coordinating Arts organizations if we feel the information will benefit our members, but we will not share your mailing or email addresses.

Please list your interest in volunteering, for example, ushering, ticket sales, poster distribution, food for events, computer skills for ads, and serving on board, etcetera, on the line below:

PLEASE CHECK YOUR MEMBERSHIP LEVEL: INDIVIDUAL OR FAMILY
	SUPPORTER Senior $30 (65 yrs &+)	DIRECTOR $150
	SUPPORTER Senior Couple $60 (65 yrs &+)	CONDUCTOR $250
	SUPPORTER Individual $40
	SUPPORTER Family $90
BUSINESS
	FRIEND $100
	PATRON $250
	BENEFACTOR $400
	GOLD CIRCLE $500

The Montrose Arts Council thanks you for your membership!
Information: 240-0ART (970-240-0278)