{% extends "base.html" %} {% load bootstrap %} {% block content %}

This form is to submit a request to claim a store/chain and assign it to your login. If you are a store or chain manager for {{ target_obj }} please fill in the following note with proof of your claim. Once you submit the request it'll be reviewed by {{ site.name }} staff who may need to contact you to confirm your request.

In the note please submit as many of the following details you can.

{{ form|bootstrap }} {% csrf_token %}
{% endblock %}