Letter of Intent
GNRx Mart
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Email *

To: Project Manager

This is to formalize my intent to set up a GNRx Mart branch located in
 *
I also intend to set up a branch in my 3 other preferred areas: 
2nd choice:
3rd choice:
4th choice:
 *
Preferred package *
My available date for a meeting is
 *
MM
/
DD
/
YYYY
My available time for a meeting is
 *
Time
:
Thank you
NAME: *
ADDRESS: *
CONTACT NUMBER: *
A copy of your responses will be emailed to the address you provided.
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