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Information Request on Opening A Store  None

First and Last Name *    
   
Address Line 1 *    
   
Address Line 2    
   
City *  State *     Zip Code *  
      
Email *    
Phone Number: *    
   
Were did you hear about Baby News? *
Do you currently own a store? *Yes No
Please List the cities in which you like to be considered for a Baby News Store.
Location 1: City:  State/Province:
   
Location 2: City: State/Province:
   
Location 3: City: State/Province:
   
 
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