Personal Information

All information is regarded as confidential in accordance with our Privacy Policy displayed on our website. This information is requested to
assist us in considering you joining our franchise system.

Name

.................................................................................................................................

Address ..................................................................................................................................
suburb ......................................................................................... p/c ...............................
Email

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Phone (home) ........................................

(mobile) ...................................................

Vehicle make/model ............................................................................................................

Marital status .........................................
Are you currently employed yes [ ]

no [ ]

In what Industry type .........................................................................................................

Have you ever been in business for yourself before
What type of business

yes [ ]

no [ ]

Length of time

..............................................................................................................................................
..............................................................................................................................................
Do you own your own home
yes [ ]
no [ ]
Are you financially able to fund the purchase of your franchise yes [ ]
I would require finance [ ]
What are you looking for in a business:
Starting part time and growing into a full time business
Commencing full time - working hands on
Running a business with employees

[ ]
[ ]
[ ]

Comments
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Signature ................................................................................................ date ..............................