Customer Request/Survey Form

Please provide your name & address - exactly as it should appear on a package mailed to you.
Use carriage returns [Enter] to end each line.
Please add your country, if not USA:

Contact-able Phone Number (This is needed for delivery air bills. We do NOT do phone marketing.):

Phone

Select any of the following options that apply:
I would also like information on:

How to become a Fabric Painting Instructor for my area.   Please include your full contact information on this form.

How I can attend a fabric painting or crafting class.   Please include your full contact information on this form.

Other:  

I would like to receive free fabric paint product ideas & updates (newsletter)
delivered to me by e-mail:  (This happens only 2 to 4 times per year--we will NOT fill your Inbox!)

YES        Email address to send newsletter to:
No

 
So we can help you better, please tell us:
Were you ever a Tri-chem/Artex/Cameo Instructor?:

No, never have been.
Yes, more than 2 years ago .
Yes, within the last 2 years.
I am an instructor currently.
If ever an instructor, with which company or companies?

Please tell us how you originally discovered our website:

Search Engine -  give name:
Another Web site (banner, listing, link, etc.).  Name of site or URL:
Contact from FPC International or an Instructor -  person's name:

A friend or relative by word of mouth.
A friend or relative by email notice (like Web Tips, Recommend-It, etc.)
Who can we thank? If completing this for a friend, put your name here.

Place your ad, comments, questions, or special request here:
If you wish to receive a Cameo catalog by mail, please see info below.

Clicking SUBMIT FORM (below) will send your information directly to us by email which is the fastest way for us to see your request.  Please do not include any credit card or payment information on this page/form!  Please  phone us during our office hours if you would like to order products, or have a problem or question about using this form.  Just like all email, this form is not secured but it will generate an email message for you if you use a computer-based email program like Outlook or IncrediMail.  If you would like to place an order: Click for information and directions or phone us 1-308-874-3333 (direct) for product advice and new orders.  See our full contact info on the Support Main Page.

 
Please Submit Form once only.
Press SEND on the resulting email message, if needed.  If you have web-based email, this will not work, Please send your info and questions to sales@fabricpaint.com if you use web-based email. After submitting, please close this window to return to your previous page or use our links below to leave this page.

  NOTE: If you wish to receive a printed catalog, please send $5 USD to:

FPC International, Dept CC
Box 225
Chappell, NE  69129-0225

Please complete this form, print it, and mail it to us with payment by cash, check, PayPal, or money order OR include your name, email, and return mailing address on a full-sized (8 1/2 x 11 inch) piece of plain or ruled paper with payment by cash, check, PayPal, or money order .  Do NOT use cards, small pieces of paper, or post-it notes. We cannot process mail orders unless they are on full-sized pages of paper and we have no resources to return them.

For wholesale, volume discount, and bulk info, or international orders contact: sales@fabricpaint.com or phone Diane at 1-308-874-3333.