SCA Recognition Levels:
______Patron ($1000 or more)
______Benefactor ($500 to $999)
______Visionary ($250 to $499)
______Art Supporter ($100 to $249)
______Friend ($26 to $99)
______Member ($20 per person or $25/family)
______Contributor ($10)
I want to participate in:
______Writers Group
______Chamber Music
______Art Show
______Photography Show
______Children’s Events
______Dance
______Website
______Local Events (such as Jamesfest)
______Art and Craft Workshops (what type?)____________________
______Practicing Artists (please specify medium)_________________
______Other, I have an event to suggest for you: _______________________________________
Name:______________________________________________________
Home Phone ___________
Address:______________________________________________________
City/State/Zip:________________________________
Email:___________________________
Please make checks payable to the SCA.
Please print this form and send it to:
Scottsville Council for the Arts
P.O. Box 919
Scottsville, VA 24590