Name:________________________________________________________________________________ Address: _______________________________________________________________________________ City:_______________________ State/Prov: ________________ Zip: __________Country: ___________ Phone: ________________________________ email: _________________________________________ Number of years you have been teaching organized classes* ___________________________________ * conventions, conferences, workshops etc, planned by an organized group List by preference, techniques you teach (up to five). 1st _______________________________________ 2nd _______________________________________ 3rd _______________________________________ 4th _______________________________________ 5th _______________________________________ List any slide, lecture or other presentations that may be of interest to an event planning committee 1st _______________________________________ 2nd _______________________________________ 3rd _______________________________________ 4th _______________________________________ 5th _______________________________________ Circle all that apply to the following statements
I am a member of the following lace related organizations: _______________________________ ______________________________ _______________________________ _______________________________ _______________________________ _______________________________ Other comments: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||