Company
First Name
Last Name
Email
Address
City
State/Province
Zip
Phone
Fax
Website
Store Category
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Specialty Toy
Specialty Gift
Catalog - Baby
Catalog - Toy
Catalog - Other
Bookstore
Card/Stationary
Children's Apparel
Children's Furniture
Eco Store
Educational
Florist
Natural Grocery
Gourmet Grocery
Hospital Gift Shop
Museum Gift Shop
Arboretum/Garden Gift Shop
Zoo Gift Shop
Maternity Store
Other
Account Type
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Brick-and-Mortar
Online Only
Both
Distributor
Sales Rep