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*First Name:
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Have you seen our merchandise in the many Boutiques, Department Stores, Airports, Museum Stores, Casinos, Hotels, Cruise Ships, or Resorts? Yes No


I'm Interested In: Full Stores Section(s) in Existing Stores Kiosks Multiple Locations


Desired State(s), Center(s), Street(s), Locations:


Do you have or know of available desired store locations? Yes No


Prior Experience: (check all the apply) Retail Wholesale Managerial Sales Other


Would you require financial assistance for this venture? Yes No


Indicate approximate amount of Capital you would have available for this venture
Less than $25,000 Less than $50,000 Over $50,000 Over $100,000


Do you currently own a business Yes No


Did you previously own a business? Yes No


How soon would you like to proceed with this venture?
ASAP Within 3 Months Within 6 Months Within 1 Year


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