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Kearney Retail Store Opportunity


Kearney Retail Store
*Business Name:
*Contact Person:
*Phone:
( )   -
*Cell Phone Number:
( )   -
*Email:
*Mailing Address:
*City:
*State:  
*ZIP:
*Type of Product
*Taxable?
Yes No
*Retail Price:
Type of Product
Taxable?
Yes No
Retail Price:
Type of Product
Taxable?
Yes No
Retail Price:
Type of Product
Taxable?
Yes No
Retail Price:
Type of Product
Taxable?
Yes No
Retail Price:
Type of Product
Taxable?
Yes No
Retail Price:
Type of Product
Taxable?
Yes No
Retail Price:
Type of Product
Taxable?
Yes No
Retail Price:
Type of Product
Taxable?
Yes No
Retail Price:
Type of Product
Taxable?
Yes No
Retail Price:
*Does your product have
its own UPC Code?
If so please list
the product and the code.
*Please note all businesses will be required to provide a delivery packing slip which will be checked off when product is delivered and faxed to GROW Nebraska’s accountant. No actually inventory numbers will be entered into the POS System until product is delivered.
 
P.O. Box 7 • Holbrook, NE 68948 • Phone: 888.GROWNEB • Fax: 308-493-5396
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