Add form for 10000 Paintings on the Web

Name of your site (artist(s))
I'm the paintor of the paintings. I'm not the paintor of the paintings.
URL :
Description in english (1 line).
Description en francais (1 ligne)
Artitistic mouvement./ Thematic
Number of paintings in your site
You email
The url where we can find our link to your page.* (You must put a link back to our site to be list)

(This form is send by email, you won't have any confirmation)

*Thank you to add this html fragment on your site : copy/paste
(you can modify this code)

<a href="http://www.paintings-directory.com/" target=_blank">10000 Paintings on the Web</a><br>Directory of paintings

Here the result :

10000 Paintings on the Web
Directory of paintings

Or use this banner