Invitation Registration Form

Please complete this form as completely as possible and click "Submit".

We have a very limited number of invitations that are sent. We will use the information you provide to match your interests as closely as possible with the particular openings content. All information you provide will be for our private use only and we will not share this information with other parties.

Opening Invitations

Last Name First Name

Telephone Number email address

Mailing Address Physical Address If different from mailing address

Please check the following subjects that most interest you:

Healey Studio:	Other Artists We Represent:	Fields of Art:
John Healey Sculpture	Jewelry	Southwestern Art
John Healey Photography	Glass	Western (Cowboys and Indians) Art
Ema Tanigaki Sculpture	Wood	Landscape/Seascape
Ema Tanigaki Jewelry	Metal	Abstract Art
Other Healey Studio Works	Fiber	Functional Art
	Stone	Realism
	Photography	Impressionist
	Painting	Pop
	Electronic	All of the above
	Mixed Media	None of the above

How Would you best describe yourself from the following choices:

Do you own work by Ema Tanigaki?

Yes
No

Do you own work by John Healey?

Yes
No

Are you a resident or frequent visitor to the area?

Yes

If not, when are you planning to visit this area?

Private Salon

On occasion Healey Studio will host a private salon. This is an informal gathering for food and good conversation. It is an opportunity for John, Ema and their friends to meet new interesting people. If you are interested in attending a salon evening, please provide a description of yourself, your interests and any other intriguing topics you would like to mention.

Please use this space for your description. We are looking forward to hearing from you!

Thank you for your interest!