Store Submission Form

Fill in whatever information about your local Wal-Mart that you know. The more information the better, but you needn't complete every field. Be as specific as you can about the location of the Wal-Mart so we know where to place it on the map! When adding a new store, please use the following format: Wal-mart XXXXX (ex. Wal-mart Brooklyn).

Store:
Store Number:
Category:
Proposed Development:
Type of Store:

Address:
Municipality:
County:
State:
Zip Code:	Verify Zip Code

Size of store:
Number of employees (Planning On/Currently):
Proximity to nearest distribution center:	miles
Proximity to nearest supercenter/regular store:	miles
Type of development:
Did this store replace a nearby abandoned Wal-Mart?:

Environmental issues:
Wetlands:
Air pollution:
Groundwater Aquifier:
Stormwater Runoff:
Other:

Traffic or transportation issues:
Site subsidies proposed/existing:
Local Political Manipulation:
Organized Opposition to Store:
Wal-Mart or developer astroturfing:
Year proposed:
Year opened/planned opening:
Opening Date :
Date Withdrawn/Defeated:
Development Company:
Developer Representative:
Wal-Mart Representative/Spokesperson:
Firm/attorney representing Wal-Mart/developer:
Contractor:
Opposition Group Name:
Opposition Group Representative:
Ongoing:
Notes: