POSTEN STABILIZATION DEALER REQUEST APPLICATION |
PLEASE PRINT, COMPLETE, AND RETURN. |
www.jimposten.com * jimposten@yahoo.com
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803 Shady Lane. Tecumseh, MI 49286
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517-403-9936
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SHOP NAME |
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ADDRESS |
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CITY/STATE/ZIP |
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PHONE/FAX/EMAIL |
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WEBSITE |
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WHICH BEST DESCRIBES YOUR SHOP (CIRCLE ALL THAT APPLY) |
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STOREFRONT / HOME BASED / INTERNET / SERVICE & REPAIR / INDOOR RANGE / OUTDOOR RANGE |
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OTHER SHOP DESCRIPTION AND COMMENTS |
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DESCRIPTION OF SHOP SERVICES AND PRODUCT LINES CURRENTLY CARRIED |
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TAX ID# |
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DO YOU ADVERTISE? YES / NO DESCRIBE: |
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INITIAL ORDER DESCRIPTION |
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(LIMITED TIME ONLY MINIMUM $300 INITIAL ORDER) |
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