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Prospective Member Profile
Store Name :
Owner/Contact:
Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail:
Is Retailer Currently a
member of a Buying Group?



Web Site:
Current POS System:
Sales Information by SKU :



Internet Access :



Retail Volume:
Yrs. in Business:
Number of Retail Locations:
Sq. Footage of Locations:
Referred By :
Nature of Retail Business: Select all that apply:  
Hunting Sports Luggage
Fishing/Tackle  HomeWorld
 [Domestics\Housewares]
Outdoor/Camping Hardware
Marine Men's Clothing
 Lawn/Garden/Patio Women's Clothing
Outdoor Footwear Children's Clothing
Athletic Equipment Toys/Seasonal
     
 
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