Retail Store Count Form
Please complete all fields below to accurately report your retail store count.
Store Name or ID
*
Store Location (City, State/Region)
*
Date of Count
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Person Reporting
*
First Name
Last Name
Role/Position
Number of Stores Counted
*
Store Type
*
Please Select
Flagship
Mall Kiosk
Outlet
Pop-up
Other
Store Status
*
Open
Closed
Under Renovation
Any Issues Noted During Count?
Inventory Discrepancy
Staffing Issue
Maintenance Needed
Other
Additional Comments
Submit Store Count
Should be Empty: