The information requested below will help us determine your specific interest and allow us to provide a meaningful response. Please note that while your initial contact will be via e-mail, our response will, whenever possible, be verbal as we prefer to personally discuss the appropriateness of our service for you before we send any concrete information. Please complete all details:

Please indicate in what capacity you are interested in our services (you may check more than one):   retailer - Store
retailer - Mail Order
corporation, school, or club
individual, interested for personal use
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