OAC Past Members \
1.
Past members or affiliates of the Orinda Arts Council
*
1
. Please enter contact information:
Please enter contact information:
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
*
2
. The person above is
The person above is
myself
friend
mother
Other (please specify)
*
3
. Her/his role was (check all that apply)
Her/his role was (check all that apply)
Board Member
Member
Program Volunteer
Supporter
Artist exhibitor
Student participant
Other (please specify)
*
4
. S/he was a member during
S/he was a member during
the 1950's
the 1960's
the 1970's
the 1980's
the 1990's
the 2000's
Don't know
5
. We're looking for photos and other archive material to document for our 60th Anniversary celebration. Do you have any materials to share with us? Please describe:
We're looking for photos and other archive material to document for our 60th Anniversary celebration. Do you have any materials to share with us? Please describe:
*
6
. Do you (or the person above) have a story or recollection of your experience with the Orinda Arts Council that you would like to share with us?
Do you (or the person above) have a story or recollection of your experience with the Orinda Arts Council that you would like to share with us?
No
Maybe-- I'll think about it
Yes! Please contact me
Thank you so much for supplying this information. Check our website frequently for updates on members we've located. And mark your calendars for Sunday afternoon, June 13, 2010, our anniversary party!!
Powered by
SurveyMonkey
Create your own
free online survey
now!
Javascript is required for this site to function, please enable.