General Information
First name:			Name of Company / Business:
Last name:			Store type:	freestanding in stip center in a shopping mall third
Job title/function:			Store primary classification:	Dog apparel store Women’s apparel Women’s accessory store Grooming/day care Gift shop Other – Specify in the field more information
Phone number:			Store location:	Urban Suburban Rural Resort # of locations
Fax number:			Date retail shop opened (mm-yyyy):
E-mail:			If not yet open, opening date (mm-yyyy):
			List products and brands that you carry:
Company information
Website:
Address line 1:
Adress line 2:			List stores You consider competitors in Your Immediate Area:
City:
State:
Province:
Zip/postal-code:			How did you hear about Manfred of Sweden?
Country:
			More information: