Name:
Address:
City, State:
Zip:
Day Phone		Evening Phone:
Email:		Fax Number:

Business Name (if applicable):
Business Phone:                      

1. Brief general description of your ceramics. (Functional, sculptural, thrown, handbuilt, type of clay body glazes, sizes, etc.)

2. Types of ceramics created. (Examples: windchimes, mugs, planters, mirrors, sculpture, wall pieces, tiles etc.)

3. Do you sell wholesale? or retail? or both?
4. Do you accept custom orders? Yes Occasionally No
5. Temperature usually used: cone electric? or gas?
6. Do you teach or give workshops? Yes No
         Brief Outline:

7. Would you host one of our meetings at your home or studio? Yes No
8. Any comments on what you would like or expect from the club are most welcome.

9. Any suggestions on workshops, speakers, field trips exhibits, sales, etc. that the club can
    undertake?