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The Retail Lab Member Application

First Name

*

Last Name

*

Email

*

Company

*

Your Title

*

Your Role in CPG (Select all that apply)

*

Your Role in CPG (Select all that apply)

LinkedIn Profile URL

*

What retail expertise can you share with the community?

*

What retail support are you looking for from the community?

*

Interested in helping moderate the community?

*

Interested in helping moderate the community?

A

Yes

B

No

C

Maybe later

What's most valuable to you? (Pick your top priorities)

*

What's most valuable to you? (Pick your top priorities)