Info Form
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May's Paint Shop Info Form

Information on this form is for my use only.  It helps me to get to know you and your needs.  Please consider anything you enter here to be between you and me.   It will not be shared without your permission.

  1. Please provide the following contact information:
    First name
    Last name
    Middle initial
    Work Phone
    Home Phone
    FAX
    E-mail
    URL
  2. Best Time to contact you


  3. How would you rate your painting experience level? (1 = beginner, 5 = very experienced)

    1 2 3 4 5

  4. What classes would you be interested in?

    Weekday
    Evening
    Weekend
    Any
    Private

  5. Are you interested in Floral Classes?

    Yes No

  6. Are there other locations that would be more convenient for you to attend?

    Yes No

  7. If so, Please list other Locations.


  8. Comments and Suggestions:


Copyright 2001.
Last revised: April 15, 2003