Upper Valley Arts Membership Form

Upper Valley Arts envisions a vibrant arts environment and cultivates diverse arts experiences for all residents of and visitors to the Upper Wenatchee Valley through Coordinating, Funding, Promoting and Communication.

Thank you for supporting UVA with your Membership!

Enclosed are my annual dues for UVA Membership (for the 2004 Calendar Year)
Please check one:

o Student/Senior $10 o Individual $15    o Family $35    o Nonprofit Organization $40  
o Supporting $100    o Business $100 o Patron $300 o Corporate $500

Name: _______________________________________   Email: ___________________

Address: _____________________________________   Phone:____________________

City: _______________________  State: ____________   Zip: _______________   

o I would like to volunteer. Please call me.

  Mail this form and your check to:
Upper Valley Arts    w    P.O. Box 754    w    Leavenworth, WA 98826