MANO Membership Application Form
Thank you for your interest in joining the Media Arts Network of Ontario.

Please remit  payment for your annual membership dues to:
Media Arts Network Ontario
1137 Dupont St.
Toronto, ON M6H 2A3

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Organization/Centre/Collective *
Legal Status *
Contact Name *
Position *
Phone Number *
Email Address *
Street Address *
City *
Province *
Postal Code *
Website *
If you have a membership, how many active members do you currently have?
Do you currently receive funding? Is yes, from which funders?
We declare that we pay artist fees based on the IMAA and/or CARFAC fee schedules. *
Membership Dues *
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This form was created inside of Media Arts Network of Ontario.