- Easy-Print and Send Form -
* Yes, I would like
to join the
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Name of Individual or: |
-------------------------------------------------------------------------------------------------------- |
| Referred by: | -------------------------------------------------------------------------------------------------------- |
| Contact Person: | -------------------------------------------------------------------------------------------------------- |
| Name of Organisation: | -------------------------------------------------------------------------------------------------------- |
| Art Discipline: |
-------------------------------------------------------------------------------------------------------- |
| Address: | -------------------------------------------------------------------------------------------------------- |
| -------------------------------------------------------------------------------------------------------- | |
| City / Town: | -------------------------------------------------------------------------------------------------------- |
| Province / State: | -------------------------------------------------------------------------------------------------------- |
| Country: | -----------------------------------------------------Zip / Area Code:-------------------------- |
| Email: | -----------------------------------------------------Website: ------------------------------------- |
| Telephone: | ---------------------------------------------------- Fax: -------------------------------------------- |
| Cell / Mobile: | ---------------------------------------------------- |
Tel. 250-246-4911, More info by e-mail:
or by writing:
GLOBAL MURAL, ARTS & CULTURAL TOURISM ASSOCIATION
P.O. Box 488 Chemainus, B.C., CANADA V0R 1K0