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IGA Stores

Fill out this form to receive information on becoming an IGA Retailer

If you are seeking employment at your local IGA please contact your local IGA store directly. This form is only intended for independent retailers who wish to receive information on joining the Independent Grocers Alliance (IGA).

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Contact Information
*First Name:
*Last Name:
*Street Address:
*City:
*State:
*Zip Code:
*Daytime Phone: ( ) -  Ext:
Alternate Phone: ( ) -
*E-mail Address:
 
Store Information
Store Name:
Store Street Address:
City:
State:
Zip Code:
Comments:

     
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