We want to promote your retail outlet -- it's good for you and good for us. But, we're never sure what information you want to use for contact on the web. So, we've created the form below. If you are a wholesale customer of Henrietta Glass and want to be included in our Where to Buy list for retail customers to find you, then complete the form. We will review the information and -- if appropriate -- will add it to the list.

You can also use this form to update information we already have in the list for you.

Thanks.

NOTE: Completing the form does NOT guarantee that your information will be included and it is not automatic. So, when you complete the form, please don't immediately expect to see your retail outlet information in the list. We also reserve the right to modify the information you provide to fit our database and site style. As with any site on the web, before supplying this information, you should check out our Privacy Statement.

 

Store or Outlet Name:
Street Address:
City:
State - Postal Code:		Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming -
Phone:
FAX:
Do you have an Online Store?
Email:
Web Address:
Tell us about your Store or Outlet: