NEWS AND CONTACT

Information Request Form

Name:

First

Middle

Last

Address:

Street
City	State or Province
Country	Zip/Postal code

I understand that you will not pass my address information on to anyone else.
Please put me on your e-mailing list so I can follow your work.
E-mail address:

I am particularly interested in the following aspects of your program:

Age:

Educational/Cultural background:

I would like to suggest the following sites or contacts for your program:

I am interested in becoming a volunteer or intern with the art resource program.
If possible, I would like to work in the following area(s):

Volunteer program
Art studio internship
Painting vacation

Art and culture workshop
Art development and community project internship

I am interested in learning how I might help your program,
including the following aspect(s):

Supporting guest
Intern
Host presentations

Help raise funds
Help with research
Help develop project opportunities

Other comments

National Capital Post Office, Box 77794, Washington, DC 20013 USA | 301.831.7286, 301.829.0137