Durham Art Association

Website Roster Form

DAA member artists who wish to have their name and art interest posted

on the DAA website must complete this form.

Please fill in ONLY the lines you would like published on the DAA website.

Name______________________________________________________________

Address____________________________________________________________

Phone______________________________________________________________

e-mail address________________________________________________________

Your Website_________________________________________________________

Describe yourself and your art interests (40 words maximum):

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Signature ______________________________________ Date_______________

You may email an image of one of your art pieces to Bob and he will put it

on the DAA website roster. If you prefer you can mail Bob a picture of one

of your works and he will scan the picture then place the scanned image on

the DAA website roster. Bob will return the picture to you.

Please give or send completed form to:

Bob Goudreau

25 Forest Park Drive Phone: 603-335-2583

Rochester, NH 03868 Email: scratchboards@yahoo.com