New IRG Location Application

Name of Company and any DBA names:

List Preferred Contact's Name

First

Last

List Preferred Contact's Cell Phone Number:

List ALL owners AND ownership % for each owner individually :

List Preferred Contact's Email:

How many locations are you adding?

Location 1 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Location 1 Phone

Location 2 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Location 2 Phone

Location 3 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Location 3 Phone

Location 4 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Location 4 Phone

Location 5 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Location 5 Phone

Location 6 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Location 6 Phone

Location 7 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Location 7 Phone

Location 8 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Location 8 Phone

How many years have you been in the independent uniform retailer business?

What were your gross annual sales ($) in uniforms for your total organization (all stores) this last year:

What growth are your projecting for the upcoming year (all stores) ?

3%
5%
10%
15% or more

Will this location have any Mobile Show Sales, if yes list state(s) or area(s) you travel to:

Any additional information we should know?