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	OC Headwear Hunting Headwear Team Dealer Headwear		Spring Headwear Custom Import Program

	Personal Information
	Name
	Street Address
	Street Address
	City
	State
	Zip

	E-Mail Address
	Phone Number
	Fax Number
	Date of Birth
	Gender		Male Female

	Business Information
	Company Name
	Type of Business
	Your Title
	Avg. Yearly Sales Volume
	Avg. Yearly Headwear Sales

	Do you do embroidery?		Yes No
	If yes, what type of Equipment?
	Are you an ASI member?		Yes No
	Are you a PPAI member?		Yes No
	Buying Group Member?		Yes No
	If so, what group?

	Thank you for your time. This information is only for the private use of Huaheng Cap so that we may better serve you.