Bookcliffs Arts Center 2015 Membership Application The Bookcliffs Arts Center’s mission is to promote the arts and humanities throughout our Western Colorado region through the development of programs and events which meet the needs of our artistic community while fostering stronger public appreciation of arts and culture. The Bookcliffs Arts Center (Bookcliffs Council on the Arts and Humanities, DBA Bookcliffs Arts Council) is a non-profit public charity operating under federal 501-c3 organizational status, FEIN 841087796 Become a member today and help support the arts and humanities - Gift memberships are available! Individual, Family and Business memberships are pro-rated annually. Annual renewals for all categories of support will be emailed and mailed to current members. _____ Individual $24 _____ Family $36 _____ Patron - $500-$1000 _____ Lifetime – 5,001 – 10,000 ______Senior/Student//Military-$12 _____ Business -$72 _____ Sustaining - $1,001 – 5,000 _____ Cornerstone – 10,001 + Individual / Family / Business Name: ________________________________________Date ________ Mailing Address: ________________________________________________________________ E-mail address: __________________________________________________________________ Phone Numbers: (cell) ____________________ (home) __________________________________ Thank you for your support! We respect your privacy and do not sell your private information. ____ Sign me up for timely e-mail updates and the electronic newsletter (produced digitally only) ____ No, I prefer not to receive updates or the newsletter via e-mail Please place a check mark next to an area in which you would like to volunteer ____ Hospitality (Greeting & Refreshments) ____ Show (Planning & organization of shows) ____ Communication (Emails, website, newsletter, social networking) ____ Program (Educational programs, student mentorship, workshops for seniors, presentations) ____Building & Landscaping ____ Marketing ((Planning & promotion & fundraising) Please place a checkmark to the type of Art you are most interested in ____ Graphic Arts, ____ Photography, ____ Sculpture ____ Dance, ____Music____ Theater, ____Fiction ____Non-Fiction, ____ Poetry, ____ Gardening, ____Knitting, ____Jewelry, ____Cooking, ____Other Bookcliffs Council on the Arts and Humanities, PO Box 1295 1100 East 16th Street, Rifle, CO 81650, 970-625-1889 Please return this completed form and payment to BAC PO Box 1295, Rifle, CO 81650 Bookcliffs Council on the Arts and Humanities, PO Box 1295 1100 East 16th Street, Rifle, CO 81650, 970-6251889