Membership Membership Request*RenewalNew MembershipMember Type*IndividualOrganizationSupporterYour InformationPrefixMrMrsMsMissMxDr.Individual Name*Organization or Business Name*Individual or Organization or Business Name*Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email* Home PhoneMobile PhoneFaxFor Organizations and BusinessesPrefixMrMrsMsMissMxDr.Primary Contact Name*TitlePhoneEmail Communications PreferencesLanguage* English Français Preferred methods of communication Emails Mail Phone calls How did you hear about us?(ex: Referral, Social Media, Event, etc.)Additional InformationYour discipline*ArtisanDanceLiterary ArtsMedia Arts (film, photography, digital, video)MultidisciplinaryMusicTheatreVisual ArtsHow can we help you? Exhibition and performance opportunities Information and arts community news Professional development Representation through advocacy Help with marketing and promotion Access to resources and expertise Networking Mentorship Preferred rates on rentals and services Other OtherWhat is your level of practice?StudentNon-professionalEmerging professionalEstablished professionalWho do you represent or serve?StudentsNon-professional artistsEmerging professional artistsEstablished professional artistsWhat is your role?ArtistArts educatorArts services providerCultural workerWhat is your role?Artistic organizationArts education organizationArts service organizationWhat best describes you? Individual Non-profit organization Business Education organization Professional services for artists Why did you choose to support us? Information and arts community news Representation through advocacy Preferred rates on rentals and services To give back to the Ottawa arts community ConsentI would like to create an Arts profile on your website*No, I decline at this time.Yes, I would like to have a profileI wish to receive emails from Arts Network Ottawa.*No, I decline at this time.Yes.Do you authorize Arts Network Ottawa to keep any shared image(s) of your work and post them, or any part of the image(s), for promotional purposes on the Arts Network website, marketing materials or in their publications? Full credit would be provided.*No, I decline at this time.Yes.Would you like to volunteer with us?*No.Yes, please follow up with me.Membership Amount*$30 Individual (For anyone who is an artist or cultural worker)Membership Amount*$50 Organization (For arts or cultural organizations or businesses with a budget under $25,000)$85 Organization (For arts or cultural organizations or businesses with a budget between $25,001 and $100,000)$100 Organization (For arts or cultural organizations or businesses with a budget between $100,001 and $1 million)$125 Organization (For arts or cultural organizations or businesses with a budget over $1 million)Membership Amount*$30 Supporter (For anyone who is an individual)$85 Supporter (For organizations or businesses with a budget under $100,000)$100 Supporter (For organizations or businesses with a budget between $100,001 - $1 million)$125 Supporter (For organizations or businesses with a budget over $1 million)Donation (Optional)No Donation at this timeDonor $25Friend $50Supporter $100Patron $250Arts Network Ottawa is a non-profit registered charitable organization. We value your support to continue our work in the Ottawa arts community. Tax receipts are issued for donations of $20 or more. BN#12177 7023 RR0001Total $ 0.00 CAD PhoneThis field is for validation purposes and should be left unchanged.