Full Name * E-mail address * Would you like to be added to the G101 Mailing list? * Yes, please! No, thank you. Are you a returning G101 member? * Yes - I would like to renew my membership to continue supporting Gallery101 No - this is my first time financially supporting Gallery101 Membership Category * $15: Community - for students or those with financial barriers. $20: Individual $35: Cohabitation - for two adults living at the same address. Both names will appear on one card. Payment Method * Cash: Please drop by the Gallery, 280 Catherine St. Ottawa ON K1R 5T3 Cheque: Mailed to Gallery101, 280 Catherine St. Ottawa ON K1R 5T3 E-transfer: Please send to office@g101.ca and write "Membership" in the message. Funds will be auto-deposited and will appear to be transferred to G101's legal incorporated name ARTISTS' CENTRE D'ARTISTES OTTAWA INC. Describe your involvement in the arts Artist - visual, performance, media, musician, writer etc. Supporter Arts Worker - curator, director, technician, coordinator, communications etc. at an arts institution or organization Other... Describe your involvement in the arts Other... Check all that apply Get involved! Let us know if you'd like to be contacted for the following volunteer opportunities Events & Openings (let us know if you're Smart Serve Certified!) Fundraising Committee Exhibition Installation Translation Transportation Exhibition Selections Committee Joining our Board of Directors Other... Get involved! Let us know if you'd like to be contacted for the following volunteer opportunities Other... Membership card is Non-Transferable Memberships do not automatically renew. Expiry dates and renewals are the responsibility of the member. Tip: add a renewal notification to your phone or e-mail calendar when you get your membership confirmation E-mail office@g101.ca to check your membership status A $10 charge will be issued for the replacement of lost cards