| Business Phone: (with Area Code) |
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| How did you learn about us? |
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| May we contact you at your business number? |
Yes
No |
| What is the best time to contact you? |
(include AM & PM) |
Please indicate what city, province/state & country
you would like to own a franchise in. |
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Please indicate your second choices to own a
franchise in. |
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| How did you hear about Drain Rescue®? |
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| Are you, or have you ever been a Drain Rescue® Employee? |
Yes
No |
| I Currently own a business. Please Describe: |
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| I used to own a business. Please Describe: |
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| Have you ever owned a business? |
Yes
No |
| Do you have any experience in franchising? |
Yes
No |
| Describe your current occupation and duties: |
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Do you plan to devote Full Time to this
business venture? |
Yes
No |
| Will your spouse be active in the franchise? |
Yes
No |
| Do you plan to have equity partners? |
Yes
No |
How much capital do you have to invest
in a business? |
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| I will produce Funds via: |
Bank
Relatives
Home Equity
Stocks
Savings |
| When would you like to start your franchise: |
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| What caused you to respond to us now? |
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