ID      4~20 chracters
Password
Re-password
Contact Name     4~20 chracters
Store name
Seller's permit #
Job title
Phone # of store
E-mail address
Street Name of store
City
State
Zipcode
How long in shoe business?
How many stores do you own?
What brand names do you carry?
What kind of products do you carry?
Business Type
Retail Price Point