Feedback Form

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Your Full Name: *

Your Email: *

Your Phone Number: *

Have you ever owned a retail business before: Yes No

Why The LOVE SHACK:

Do you have a personal PNL: Yes No

Do you have a net worth of at least a half million dollars: Yes No

Do you have access to no less then $200,000 in liquid assets for rents, build out, fees, merchandise etc: Yes No

How would you rate your credit on a scale of 1 to 10 with 10 being perfect:

Have you ever been arrested or convicted of a felony: Yes No

Additional Comments: