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TELLING US WHAT YOU NEED AND WANT FROM US

YOUR OPINIONS AND IMPRESSIONS MATTER TO US

HOW CAN WE SERVE YOU BEST? 

Thank you for visiting our site.  Tell us what you need and want and how best we can help you.   You can help us to serve you better by completing the form below and clicking  the SUBMIT  button to send us your information, preferences,and comments. Please be assured that your information is strictly confidential and we do not share this information with any other persons, businesses, or organizations for any purpose other than serving you, our customer. We look forward to getting to know you and finding out how we can best serve YOU.

1. First Name *
2. Last Name *
3. Home Phone 
4. Comments 
5. Feedback 
6. How did you hear about us ? 
7. Email Address *
8. Website Address (URL) 
9. Age ? 
10. Would you like to have information or articles emailed to you about upcoming needle art products, specials, events, or of related interest? *
 Yes     No
11. What kinds of needle arts are you most interested in? You may choose more than one option. *

 Other  
12. Please check which of the following options is of interest or importance to you? You may choose more than one option. *
 Buying the artist's orginal design piece?     Buying a signed replica of the original piece?     Buying the design pattern and doing it yourself?    A good source of unique design patterns?    A reliable source of needle art tools and materials?  
 Other  
13. Please tell us which of the options in question 13 is of the most interest to you? 
14. In addition to Designs by AJ, would you like to have us also offer the design patterns of other accomplished needle art designers if available? 
 Yes     No
15. Would you like to receive information on how to submit your own original needle art design patterns for possible posting to our website? 
 Yes     No
16. Please tell us which of the following, if any, apply to you. Are you *

 Other  
17. Are you seeking or interested in needle art designs for commercial applications or production? 
 Yes     No
18. What is your favorite needle art subject or genre'? 

 Other  
19. Do you have a specific design you might like to commission or have us to do for you, such as a picture of a favorite pet, or an office wall hanging and, if so, would you like AJ to contact you concerning this interest? 
 Yes     No
20. WANT TO RECEIVE A LIST OF OUR AVAILABLE HOW TO AND INFORMATION ARTICLES AND HOW TO GET THEM? *
 Yes     No
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