PlacerArts is the Arts Council of Placer County, a non-profit, public benefit agency for over 25 years, and the designated state-local partner of the California Arts Council for the County of Placer.

WHY JOIN?

• Support the Arts in Placer County
• Receive Perspectives arts newsmagazine by mail
• Receive notice of member discounts and special events
• Access to Health Care and Liability Insurance through Fractured Atlas
• Volunteer to assist PlacerArts programs

Won't you please join today?

If you wish to take advantage of the discounted member rates for selected events please complete this form prior to purchasing your event tickets.

^* -required field   

MEMBERSHIP INFORMATION:

Are you purchasing this Membership for yourself or as a gift

---

This membership is being purchased for:
Full Name:*
Company Name:
Address:*
City:*
State:*		Zip:*
Phone:
Email:

Annual Dues:*	New      Renewal
Membership Level:*	Select Desired Membership Level $35 Individual $50 Family $25 Student/Senior $40 Affiliate Non-profit $75 Business Sponsor $100 Patron $500 Benefactor
In support of PlacerArts. 25 years of creating community through the arts, I would like to make an additional contribution:
	Select Desired Additional Contribution $25 $250 $2500
Please add the following Supplementary Participation Fee to my membership:
	$20 Participation Fee – Placer Artists’ League
	$20 Participation Fee – Sierra Foothill Potters Guild
	$40 Participation Fee – Art Walk Venue Fee

PURCHASER INFORMATION:

Full Name:*
Additional Name:
Company/Organization:
Address:*
City:*
State:*		Zip: *
Phone:*
Fax:
E-mail:*

PAYMENT INFORMATION:

Preferred Method of Dues Payment: by Check or by Credit Card

---

Credit Card Type:*	Select Type MasterCard Visa
Account Number:*
Issued to (name):*
Expiration Date:*	MMYY format
Security Code: *	3 digit (CVV2) code