Does this
submission replace
 an existing entry?

Name of Business:

Name of Owner or Manager:

 Address:

City:

State/Province:

 Zip/Postal Code:

 Phone:

 Email Address:

 Web Site:

 Type of Business

Retail Store  NoYes *

  Mail Order NoYes *

  Club Order Discount   NoYes *

  Wholesale NoYes *

Convention Vending NoYes *

 Days and Hours
of operation:

 Product/Service:

 Brief Description:

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information on
advertising in the
ABS Journal?