26260 Lawton Ave
Loma Linda, CA 92354
(714) 442-2067
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The Eyes of the Action Sports Industry
IMPORTANT!! Requirements to be on the ActionWatch Retail Panel
• Your store must carry multiple "Action Sports" hard good and/or soft good brands.
• POS system
• Internet access
View the Member Confidentiality Agreement
Business and Store Information
Business Name
Year Founded
choose year 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 and earlier
Retail Store(s) Name
(if different than business name)
Website Address
(if applicable)
Contact Information
Contact Name
Phone
Fax
Email
Address
City
State
choose state AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RE SC SD TN TX UT VT VA WA WV WI WY
Zip Code
Store Information
Number of stores owned/managed
1 to 5 stores 6 or more stores (Do not fill out the store fields below. We will contact you)
Store 1 City State choose state AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RE SC SD TN TX UT VT VA WA WV WI WY Square feet of selling space
Store 2 City State choose state AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RE SC SD TN TX UT VT VA WA WV WI WY Square feet of selling space
Store 3 City State choose state AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RE SC SD TN TX UT VT VA WA WV WI WY Square feet of selling space
Store 4 City State choose state AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RE SC SD TN TX UT VT VA WA WV WI WY Square feet of selling space
Store 5 City State choose state AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RE SC SD TN TX UT VT VA WA WV WI WY Square feet of selling space
POS System (computerized sales and inventory tracking system)
Please describe your POS system (a POS system is required to be a panel member)
Software Name
Software Version
Products
Please check the products that you carry
Apparel and/or footwear
Sports equipment
Skateboard
Surf
Snowboard
Wakeboard
Kite surfing
BMX/other bicycle
Other sports (please list)
BRA Membership
Check here if you belong to the Board Retailers Association
Referred By (not required)
Comments (not required)