"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.
 

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.


Please enter your email address and password. Your email address is your Help Save The Butcher's login username:
Email:*
Confirm Email:*
Establish Password:*
Confirm Password:*

What is the name and location of your store:
Store Name:*
Address 1:
Address 2:
City:*
State:*
Zip code:*  (ex. 99999 or 99999-9999)

Principal contact for the store:
Last name, First:*
Position: (Owner, Meat Manager):*

Please give us the contact information for your store:
Telephone:*   (ex. 123-456-7890)
Fax:  (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?

Please 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: