Sam's Information Request Form
Would you like to receive an Exclusive Sam's Market Menu by fax?
Would you like to receive information by e-mail?
: Company name
: Your first name
: Your last name
: Phone
: Your fax number
: E-Mail Address
: City
: State
: zip code
What avenue of distribution do you have?
: Retail : Wholesale : Auction : Export : Broker
: Flea Marketer : On-Line Auctions : Pawn : Other
: Are you looking for truckloads of major department store customer returns?
: Pallets of major department store returns?
:New Overstocks?
:Hunting-Fishing-Camping & Hiking merchandise?
: Furniture?
: Knockdown Furniture?
: Shelving and pallets racks?
:Office :Houseware : Domestics : Electronics : HBA'S
: Baby Products : Toys : Bicycles
: Gifts : Banana Box Food : Coffee : Pet Products Garden & Yard
: Luggage : Hand Tools : Home Improvement : Lighting
: Paint : Auto : Shoes : Ladies Fashion Clothing
: Children's Clothing : Men's Wear : Swimwear
: Generators : Air Compressors : Miracle Home Building Panels
: Seasonal Merchandise
: Information for a complete turnaround outlet store franchise?
: Have you read the complete " Liquidation 202, America Returns to Profits" ?
: Other : Explain Other
: Would you like to be included in all future merchandise fax & e-mail merchandise notifications?
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