Hendricks County Arts Council

Hendricks County Arts Council

2009 Membership Form

Hendricks County Arts Council

(Membership year Jan.1-Dec.31)

PLEASE COMPLETE ENTIRE FORM FOR NEW AND RENEWING MEMBERS:

1. Individual Name(s) or Business Name:

2. E-mail Address:

3. Street Address:

4. Town, State, Zip Code:

5. Phone Number:

6. Contact Person for Business or Not-for-Profit Members:

7. What are your interests in terms of supporting the HCAC? (list all that apply):
Board member
Committee member
Financial supporter
Help with special events
Artist/craftsperson
Musician
Thespian
Other (please specify)

8. Can we list your name and address/phone number in a directory solely used for members of HCAC?

After you submit your application you may pay your membership & registration fees via PayPal using the button on the next screen. If you prefer you may mail the membership fees to:

Hendricks County Arts Council
PO Box 315
Danville, IN 46122

Your donation is tax-deductible to the extent allowed by law.