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?