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* 1. Are you a...

Retailer

Vendor

Customer

Other (please specify)

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* 2. What is your Business Name?

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* 3. Where is your Business location?

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* 4. Best Contact to ask for?

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* 5. Email address

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* 6. Phone Number

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* 7. Lastly, tell us about your business;
* What categories are you in (Appliances, Furniture, Bedding, CE/Electronics,
* Outdoor (Furniture, Grills, Hardware)?
* Do you have a Brick and Mortar location? How Many?
* What is your estimated annual volume?
* Are there services you are interested in?
* What is the best time to contact you?
* Any additional comments you would like to add