DATE:
NAME:       EMAIL:
HOME PHONE:     WORK PHONE:     FAX:
ADDRESS:
CITY:        STATE:        ZIP:
 

                         
YELLOW PAGES                                EXCELLENT                                        EXCELLENT
WEB SITE                                            GOOD                                                   GOOD
FRIENDS/FAMILY                              AVERAGE                                            AVERAGE
OTHER:           OTHER            OTHER

                                       
EXCELLENT                                                                PAINTING
GOOD                                                                                                                WOODWORKING
AVERAGE                                                                                                         SEWING
OTHER                                                                         SCULPTURE
                                                                                                                                KNITTING
                                                                                                                                CERAMICS                                                                   
                                        
                            HOBBY                                               
                                                                 PROFESSION