Web Site Member Directory Form

Please use this form to update the Member Directory at www.galagardner.org.

Please fill out below, only the information about you that you want us to include in the directory, then either place this form in an envelope and mail to: Web Site Directory, GALA, P. O. Box 1158, Gardner, MA 01440, or email your info to: gbiechele@galagardner.org.

Changes can be requested at any time.

Name: ___________________________________________________________________

Medium(s): _______________________________________________________________

City, State: _______________________________________________________________

Phone: __________________________________________________________________

Email: ___________________________________________________________________

Web Site: ________________________________________________________________

Please do not include me in the web site directory.

For inquiries please call Vicki at Surroundings Gallery, (978) 630-2340 or email info@galagardner.org