Your Name   

Store Name

City, State, Zip          

Legal Name of Store (Corporation, etc.)      

Phone number (with area code)

Fax number (with area code)

E-mail Address

Type of merchandise

Quality level of merchandise (discount, budget, moderate, high end, luxury)

Your three most important brands (vendors)

Number of full-time employees (excluding yourself)

Number of part-time employees (excluding yourself)

Number of stores

Sales Volume

Total Square Feet

Best time and day of week for you to attend the call