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d.b.a. or Store Name (if different from Company)
Do You Currently Sell JUUL Products?:*
How Many Stores Do You Own or Operate?:*








Primary POS (Incl. Cash Register):*
Other POS:
Total POS Systems in Use (Incl. Cash Registers):*
How Did You Find Out About RACS:*
RACS Referral Code:

*Required