Apply to Be Listed in our Shop Locator - The Countess Collection™

Is your shop listed in our shop locator?
We ONLY sell to independent needlework shops.

Please complete this form to be listed on this Web site and to obtain retailer's password protected pricing/ordering information from Needleworks! Inc.

Contact Information

Company Name

First Name	Last Name

Resale Number

Day Time Phone	Evening Phone	FAX

E-mail Address

Website URL (please include the http:// before your web site address)

http://

Type of Shop (Cross Stitch, Needlepoint, All Types)

Hours of Operations

Shipping Information

Address - Line 1

Address - Line 2

City	State

Zip/Postal Code	Country

Billing Information

Address - Line 1

Address - Line 2

City	State

Zip/Postal Code	Country

About Us: (40 words or less - about your shop that will be included on the web site listing)

Needleworks! Inc. --- Fine Needlework Tools
P.O. Box 2480 Daphne, AL 36526-2480
phone - 931.486.0076 fax - 931.487.0076

site dedications and acknowledgements