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RETAILER PROFILE FORM
If you do not have a catalog login, please fill out the form below and a customer service representative will contact you within 1 business day.
Store Name:
Street Address:
Store City:
State:
Zip:
Country:
Store Phone:
Store Website:
Will Soundgirl be available for purchase on your site:
Yes
No
Are you already a Soundgirl customer:
Yes
No
Store Owner:
Phone Number:
Email:
Buyer Name:
Phone Number:
Email:
Check if same as above
How did you hear about Soundgirl?
Trade Show
Which Trade Show?
Another Store
Which Store?
From A Friend
Friend's Name
Internet
Which Site?
A Magazine
Which Magazine?
Other
Please Specify
Age Range (check all that apply):
12-15
16-19
20-25
25-32
30-40
40+
Please Describe Your Customer:
What Categories Does Your Store Cover:
Contemporary
Young Contemporary
Intimates
Junior
Surf
Skate
Streetwear
Action Sports
Vintage
Furniture
Accessories
Please List At Least Five Brands Carried:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Remarks:
