* Your name:*
Your phone number:* Your address:* City:

* State:
* Zip code:

Your e-mail address: (if any)
Taverns or Bars:  Any type
 
Distribution:  Dealerships  
   Other
   
Manufacturing:  Clothing
 Wood  Metal
 Chemical  Other
   
Bakeries:  
 Retail Bakeries  Donut Shop
 Wholesale Bakeries  Other
   
Retail:  
 Pharmacies/Health Aids  Fabric Stores
 Automotive Parts/Tire Store  Auto & Truck Sales
 Hardware/Electrical Stores  Appliance/Electronic Stores
 Home Furnishings  Pet Stores/Supplies
 Pet Stores/Supplies  Florists/Nurseries Etc.
 Sports  Video/Music Stores
 Book/Comic Stores  Toy Stores
 Office Supply  Gift/Stationery/Cards
 Hobby/Craft Stores  Photo Shops
 Children's Shops  Adult Clothing/Accessories

                                           Other

Services:  
 Financial (Ins/Credit/CPA)  Office Support
 Child Care  Amusement/Recreation
 Construction/Landscape  Tailor/Shoe Repair
 Travel Agencies  Advertising/Printing/Art
 Personal Care  Appliance Repair/Service
 Electronic or Computer Service  Auto & Truck Repair/Service
                                            Other
Liquor Stores:  Any type
Food Markets:  
 Grocery Stores  Convenience Stores
 Meat/Fish Markets  Other
Laundry and Cleaning:  
 Coin Op. Laundry  Dry Cleaning Plants
 Dry Cleaning Pick Up Stations  Other
Catering:    Any type
Restaurants:  
 Deli  Ethnic Restaurant
 Cafe/Diners/Coffee Shops  Full Service
                                            Other
Fast Food:  
 Sandwich Shops  Hamburger/Hot Dog Shops
 Chicken/Fish  Bar-B-Q
 Ethnic Fast Foods  Ice Cream Shops
                                           Other
   
   
   

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