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HEXTIE Stockist Application
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Store Name
*
Your answer
Name of Contact
*
Your answer
E-mail Address
*
Your answer
Phone Number
*
Your answer
Store Address
Your answer
Brands Carried (List a minimum of 3 brands)
*
Your answer
Annual Sales
*
Under $100,000
$100,000 to $500,000
$500,000 to $1,000,000
$1,000,000 to $5,000,000
$5,000,000 to $10,000,000
$10,000,000 +
Website
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Your answer
Instagram Account
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Your answer
Anything else we should know?
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