Galaxy Express Customer Contact InformationCustomer Contact Information Are you an existing customer?*YesNoCompany Name*First Name*Last Name*Address* City State Zip Code Telephone*FaxMobileEmail* Enter Email Confirm Email Resale #Type of Business:*Beauty SalonCandy StoreMeat MarketsChain Super MarketConvenience StoresDollar StoresLaundromatLiquor StoreIce Cream StoreRestaurants and Lunch TrucksWholesale & Dist.Other