Earnshaw's

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1234567-WAS
MR JOHN SMITH
STORE MANAGER
1101 CONNECTICUT AVE NW
WASHINGTON, DC 20036

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1.) Check the one code that best identifies your company operation.
(A) Mass Merchandiser
(B) Department Store
(C) Children's Apparel Chain Store
(D) Children's Apparel Independent Specialty Store (less than 5 units)
(E) Children's Apparel Independent Specialty Store (5 units or more)
(F) Children's Footwear Store
(J) Mail Order/Catalog Showroom E-Commerce
(K) Military Post Exchange
(L) Other Retail (Please Specify):
(M) Children's Apparel Manufacturer
(N) Juvenile Product Manufacturer
(O) Manufacturer's Representative
(P) Supplier/Fiber & Fabric Producer
(Q) Licensor
(R) Jobber/Wholesaler
(S) Importer/Exporter
(Z) Other non retail (Please Specify):

2.) Please check one code that identifies your title.
(1) President, VP, Owner, Partner
(2) Divisional Merchandise Manager
(3) Merchandise Manager
(4) Buyer
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