Help Save the Butchers Registration

"Help Save The Butchers!" Store registration

Please tell us about your store. We need the location and contact information for your store as well as some other store information.

Help Save The Butchers reserves the right to refuse membership. Please answer the following questions honestly as it will help us evaluate your potential.

Note: * = required fields.

Enter your email address and password:

Email:*
Confirm Email:*
Establish Password:*
Confirm Password:*
Note: Your email address will be your Help Save The Butchers™' login username.

Enter the name and location of your store:

Store Name:*
Address 1:
Address 2:
City:
State:
Zip code:*	(ex. 99999 or 99999-9999)

Enter the Principal contact for the store:

First name:*
Last name:*
Position:*	(e.g. Manager)
Telephone:*	(ex. 123-456-7890)
Alternate Phone:	(ex. 123-456-7890)

How large is your store?

Store size:*

(sq. feet)

How many meat cutters does your store employ?

# Full-Time:*
# Part-Time:*

What perishable departments does your store have?

Self-service Meat
Personal-service Meat
Deli
Produce
Bakery

Enter the number of running feet for each kind of meat case in your store:

Single-deck meat case:
Triple-deck meat case:
Multi-deck meat case:
Personal service meat case:
Meat freezer doors:
Meat freezer multi-deck:
Meat freezer coffin case:
Pre-packaged meat case:

By applying for membership in the Help Save The Butcher Organization, you agree that "Help Save The Butchers"
remains the sole property of the Help Save The Butchers Organization.
and can not be used without the written consent of it's owners.