Store Name
Contact/Title
Address
Phone number
Years of Business in current locale?
Has your boutique had any other locations?	No Yes - Other locations:
Number of Sales Associates?
Type of store (check all that apply)	Cosmetics Apothecary Clothing Accessories Ready to wear Hair Salon Furniture/household
Brands Carried: (Please type N/A for those not applicable)
Cosmetic
Clothing/Ready to Wear
Accessories
Bath, Body or Candles
Non cosmetic brands
Annual Store Volume
Projected Lipstick Queen Volume
Store website
Email