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2. Name
3. Email Address
5. Address
7. Phone Number
9. Medium/Description of Work
   i.e. jewelry, photography, etc...
11. Wesbite
13. Social Media Channels
    Facebook, Twitter, Instagram
15. Are you taking Custom Orders?

    1. Yes
    2. No

    If yes, please fill out Custom Order Details below.
17. Email Address for Custom Order (s)
19. Custom Order Details
21. Are you offering virtual courses?

    1. Yes
    2. No

    If yes, please fill out Virtual Courses details below.
23. Virtual Courses Details
25. Additional Comments or Instructions
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field