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NAME OF STORE

PHONE NUMBER

BUYER/OWNER NAME

TAX ID

EMAIL ADDRESS

WEBSITE URL

BILLING ADDRESS LINE ONE

SHIPPING ADDRESS LINE ONE

BILLING ADDRESS LINE TWO

SHIPPING ADDRESS LINE TWO

BILLING CITY

SHIPPING CITY

BILLING STATE

SHIPPING STATE

BILLING POSTAL CODE

SHIPPING POSTAL CODE

BILLING COUNTRY

SHIPPING COUNTRY

HOW MANY STORES DO YOU HAVE?

WHO IS THE BEST CONTACT FOR ACCOUNTS PAYABLE?

HOW WOULD YOU CATEGORIZE YOUR BUSINESS?

WHAT OTHER BRANDS DO YOU CARRY?

WHO IS THE BEST CONTACT TO REACH OUT TO FOR RE-ORDERS?

DO YOU DO BUSINESS UNDER ANY OTHER NAMES?

WHERE DID YOU LEARN ABOUT THE HIVE?

PHOTO OF STORE INTERIOR

PHOTO OF STORE EXTERIOR