Artisan Community Representative

Please fill out the information requested below if you are an individual working with & helping to promote the products of an artisan community or any other similar organization. Please answer all questions applicable to you. If any question does not apply to you, please indicate so with a NA (Not Applicable).

About You:
Contact Information:

	Name
	Address
	Telephone
	Fax
	Email
	Website

	Are you a member of a regional, national or international Fair Trade network? Yes No
	If yes, select Others - please specify
	How many artisan communities/organizations are you associated with?
	How long have you been involved with artisan communities/organizations? years
	In your years of involvement with these organization(s), have you been personally committed to any particular problems that are prevalent in the respective communities? (<350 chars)

	What is your role? Please select all that apply:
	Business Development
	Business Advice
	Information Technology
	Marketing
	Product Design
	Sales
	Other - Please Specify
	Please describe yourself. (<350 chars)