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* 1. Company Name

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* 2. Company Headquarters (City, State)

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* 3. Company CEO

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* 4. Number of Locations

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* 5. Number of Employees

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* 6. 2018 Sales Revenue (in USD)

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* 7. Please provide any supplemental information that might provide context for your entry. These might include mergers or acquisitions and/or other variables or expenditures that impacted your fiscal year. Comments/quotes from company executives are welcome.

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* 8. Company Contact (not to be published)

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* 9.  Title

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* 10. Email

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* 11. Phone

Thank you for submitting your company's application to Industrial Distribution's 2019 Big 50 List. If more information is needed, one of our editors will follow up with the contact you provided.
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