2. Name of merchandise:

3. Location / address:

4. Chain Affiliation:

5. Local Arts & Crafts: Yes No

6. Souvenirs: Yes No

7. Store specialties (antiques, crafts, propane sales, RV supplies, etc.):

8. Unique merchandise:

9. Special sales and/or events:

10. Size of store (square footage):

11. Parking (including motor coaches): Number of spaces: Coaches:

12. Handicapped accessibility: Yes No Partial

13. Rest Rooms: Yes No

14. Hours of operation:

15. Credit Cards honored: VISA MC AMEX DISCOVER Other:

16. Seasons of operation: Summer Winter Spring Fall Other:

17. Unique features of design and/or servies: