1.Name:_______________________________________________________________________
Address:______________________________________________________________________
2.City:_____________________State/Prov.:_________________ Zip/Country Code:___________
3.Phone:______________________Fax:___________________
Email: ____________________________________________
Website:___________________________________________
4. List other teacher groups in which you are presently active:
______________________________________________________
5. How long have you been china painting? __________
6. Do you presently teach a china painting class? Yes / No
7. Do you travel to conduct seminars? Yes / No
8. Do you demonstrate at conventions or local clubs? Yes / No
9. Do you currently conduct programs for civic groups? Yes / No
10. Have you, within the last two years, published any articles pertaining to china painting?
If so, explain:______________________________________________________________________
_________________________________________________________________________________
Please INCLUDE with this completed form
A. A photograph of a recent original work completed by you and the written instructions. A study will be accepted. (To remain in your file)
B. A check in the amount of $15.00 (US funds), made payable to WOCP
Mail to: WOCP Corporate Headquarters, 2641 N.W. 10th,
Oklahoma City, Oklahoma 73107-5407
Phone: 405-521-1234 Fax? 405-521-1265 Email: wocporg@theshop.net