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Name:
E-mail:
Type of Business:
Store Name:
Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
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ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Phone:
Fax:
I currently buy my bags from:
(name of current bag distributor or bag supplier)
Bag Style:
Merchandise
T-shirt
"Wave"
Patch Handle
Poly Draw Tape
Cotton Draw string
Shoulder Tote
Garment bags
Flat Bottom Shopping bags
Other Styles
(including paper)
Poly Type:
Hi-density
Low-density
Bag / Poly color
:
My Logo is Printed in:
1 Color
2 Color
3 Color
4 Color
5 Color
6 Color
Number of sides printed:
1 Side
2 Sides
Plain - no print:
I annually purchase:
Less than 5,000
5,000 - 10,000
25,000 - 50,000
100,000 - 250,000
250,000 +
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