KPAC Membership Registration
Full Name
*
First Name
Last Name
Are you representing a local arts or community group?
Please provide your groups name, and your role with the group!
Would your group be interested in becoming a KPAC member?
Yes
No
Will discuss at a future meeting
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Do you want to receive our monthly newsletter or other KPAC emails?
*
Please Select
Yes
No
Do you want join our volunteer list?
*
Yes, sign me up!
No, I will reach out if I am available
Do you have any ideas for how to improve KPAC?
Are you interested in putting your name forward for any upcoming Kiwanis Performing Arts Society Board positions?
*
Yes
No
Maybe
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KPAC Annual Membership
$
20.00
CAD
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Credit Card
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