●Please support the arts in Grand County by becoming a Grand Arts Council member.

●Print and complete this application and mail with your check to
    Grand Arts Council at P.O. Box 605, Grand Lake, CO 80447.

●The Grand Arts Council is a Colorado 501(c)(3) non-profit organization
and all your membership and any donation dollars are fully tax-deductible. (84-1141079)
 

Name __________________________________ E-mail Address ___________________________

Primary Address: __________________________________________________________________

                 City:   __________________________________________________________________

                 State:  ___________________________  ZIP _____________  Phone _______________

Secondary Address: ________________________________________________________________

                 City:   __________________________________________________________________

                 State:  ___________________________  ZIP _____________  Phone _______________
 

            Gold Benefactor $500               Silver Benefactor $200             Sustaining Patron $100

            Artist $50                                  Business $50                            Family $35 

            Individual $20

            Other Donation Amount ___________    

I am available as a volunteer to:

             Help organize events

             Sell tickets

             Be an usher or helper

             Teach a class

             Help with construction & clean up

             Serve on the Board of Directors

I have the following skills which I can donate:

____________________________________________________________________________________

____________________________________________________________________________________

 

Check # _____________ Signature _________________  Date: ________