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*First Name

*Last Name

*Occupation

*Industry

Company Website (if available)

*City

*State

*Country

*Preffered Way Of collaboration

Distribution
Retail
Online Sales
Others

*Channel Type

Vape Store
Electronic Store
Restaurant
CVS/Gas Station
Grocery Store
Lifestyle
Tobacco/Alcohol Store
Hypermarket/Supermarket
Other, please specify

*How many retail stores/affiliates connections

*Do you own retail stores?

Yes
No
Plan to open

*What is your minimum initial investment amount GBP?

Under £5,000
Between £10,000 and £30,000
Between £5,000 and £9,999
Over £30,000

*Mobile Phone

*Contact Email

Other preferred method of contact

*Would you consider investing or opening an exclusive Boss Drinks store?

Yes
No

Which City

Why do you want to work with Boss Drinks?

Were you referred by a Boss Drinks employee? If so, please provide their full name.

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