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Partner Information Name of Business: Principal Name: Contact Name: Title: Address: City: State: Zip Code: Phone Number: Fax Number: E-mail: Type of Business: Annual Sales: Years in Business:

General Information I Am Interested In Offering: Sketch Watercolor Oil painting Pop Art Caricature In Masterpieces Simple Photo Touchups Others   Do you have Internet Access? At work At home   Do you have physical store(s)? Yes stores No   I would like to have store display for the following products: Do you have a photo quality or large format printer? Yes, which kinds? No

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