Account Information Sheet

Please be sure to also fax an actual copy of your state sales tax license to 1-800-258-6410. Please complete the following to help us better handle your request. All information will be kept strictly confidential. For more information, read our Privacy Policy.
  (*) - Required Fields
Name of Store/Business*:
 
Owner Name*:
 
Home Address*:
 
Home Phone Number*:
 
Business Address*:
 
Business Phone Number*:
 
E-mail Address:
 
Would you like to receive updates/information via e-mail?
  Yes No
Web site Address:
 
Would you like to be on Checker's Links page?
  Yes No
How long have you been in business*?
 
If you have not opened yet, when is your opening date?
 
Please specify what type of business you are*:


  Retail Manufacturer Web site
Longarm Machine Quilting
Other (please specify)
How did you learn about the Creative Grids USA™
Web site?


  Advertisement in quilting magazine
Online quilting list Internet Search Engine
Friend or associate
Other (please specify)
How long have you been quilting?
  Less than one year 1-5 years 6-10 years
10-20 years 20+ years
Please select all the product categories you carry or wish to carry:
  Fabric Books & Patterns Notions Gifts
Other (please specify)
How large is your shop?



  Less than 500 sq. feet 500-1,000 sq. feet
1,000-2,000 sq. feet 2,000-5,000 sq. feet
Over 5,000 sq. feet
Other (please specify)
How many bolts of fabrics do you have or anticipate having in your shop?
  Less than 100 100-500 500-1,000
1,000-1,500 1,500-2,000 More than 2000
What kind of classes does or will your shop offer?


 

Piecing Applique Foundation/Paper Piecing
Hand Quilting Machine Quilting Children's
Other (please specify)

Are there any products you wish Checker carried?