NAME*

EMAIL*

STORE NAME*

STORE PHONE NUMBER*

WEBSITE

TARGET MARKET* (AGE, GENDER, ETC)

STORE ADDRESS

# YEARS IN THE BUSINESS

NUMBER OF STORES (IF MULTIPLE LOCATIONS)

REQUEST TO STOCK

BEST SELLING BRANDS IN-STORE

PLEASE INCLUDE PICTURES OF YOUR STORE INCLUDING MERCHANDISING,
STORE LAYOUT AND ANY OTHER FEATURES.


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