Please provide the following contact information:

        * is required field

Name*
Title
Guild or Organization*
Street Address*
City*
State/Province*
Zip/Postal Code*
Work Phone with area code
Home Phone with area code*
FAX
Cell Phone
E-mail*
Guild's Webpage address:
Address (if different from Contact Person's address):
Nearest Airport(s):*
Additional Contact Person (for emergencies):*
Telephone: Day*
Telephone: Evening
Fax
Cell phone
Email:
Average attendance at lectures/meetings: approx.
Scheduling Preferences Please indicate the number of lectures and/or days of workshops you would like:
Lecture(s)
Regularly scheduled meeting date(s) (week, day, and time)*
Workshop(s)
Time of Workshop(s)
Day(s) of week preferred for workshops::	Monday
	Tuesday
	Wednesday
	Thursday
	Friday
	Saturday
	Sunday
Flexible
Retreat, Conference or other special engagement
A 16-page Teaching Packet is available which includes workshop descriptions, fee schedule, sample contract, and other information useful for program committees. This file may be easier to print out than web pages, and the photos are at a higher resolution. It is a PDF file and will open with Acrobat Reader (free software- if you don't have it, click here for a link: Adobe)
Please email me the Teaching Packet file. I'd rather read the information online. Please send me the webpage addresses.
Other Notes or Requests:
Click below to submit this form to Karen.
You can also email Karen at: karen@karencombs.com or write to: Karen Combs 3021 Viewpointe Way Columbia, TN  38401

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