Please print this page

Barnwell County Arts Council
2010 Membership Form

Name_________________________________________________________________

Street or PO  Box________________________________________________________

City, State______________________________________________________________

Phone____________________E-mail________________________________________

Membership Levels

                   












Patrons joining at this level receive two free tickets to
our February Membership Event


Please mail with payment to:

BCAC
PO Box 1606
                  Barnwell, SC  29812    
          
Angel Oak -------------------------------
                             
Magnolia Tree  -------------------------
                       
Palmetto Tree  -------------------------
                        
Keyhole Sand Dollar -----------------
              
Carolina Wren -------------------------
                         
Swallowtail Butterfly------------------
                          
Family   ----------------------------------       
                               
Individual  -------------------------------        
                       
Student / Senior ----------------------
$1000  _____

$500
   _____

$300  
  _____

$200  
  _____

$100
   _____

$50      _____

$30      _____

$15      _____

$10      _____