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            Please note: Fields marked with an asterisk (*) are required. You may be contacted by telephone to verify your registration information.
            You will be contacted by email to validate your account.

            First Name:   *
            Address 1:   *
            Address 2:  
            City:   *
            Zip/Postal Code::   *
            Telephone::   *
            Is this a secondary account?:   Requested markup?:  

            Business Name:   *
            Business Type:   *
            e.g. retailer, designer or other (explain)
            Business Title:   -
            e.g. Sales Manager
            Tax Id:   *
            Business Website:   -
            e.g. www.mycompany.com
            Number of Stores:  
            e.g. 42 or 1,234
            Average Store Size (Square Feet):  
            e.g. 3,000 or 850
            Are you an authorized buyer?:  
            Are you an existing Dovetail customer?:  

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