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[]
[]
["REQUEST FORM - ADD COMPANY - INTER-STORE TRANSFERS"]
[{"$nulls":8},"*This process can take several (approx. 4-8) weeks to complete"]
[{"$nulls":8},"Once completed please email this form to: retailproimprovement@lcbo.com"]
[]
["Vendor Name*"]
[]
["Please answer \"Yes\" to the option(s) that best describes:"]
[]
[{"$nulls":4},"Is Authorization for a Manufacturer?"]
[{"$nulls":7},"Is Authorization for Manufacturer's representative (i.e. an agent for other brands you do not manufacture)?"]
[]
[]
["Full Name of Requestor*"]
["Requestor's Position Title*"]
[{"$nulls":3},"(Must be Manager level or higher)"]
["Requestor's Email Address*"]
[]
["Company Street Address*"]
["City and Postal Code*"]
["Phone Number of Requestor*"]
[]
[]
[]
["Representatives to be Authorized",{"$nulls":4},"Representatives to be Authorized"]
["Last Name",null,"First Name",null,null,"Last Name",null,"First Name"]