Free Franchise Broker Confidential Questionnaire

Full Name *

Phone *

Email *

Spouse/Partner

Address *

Street Address

City

State

Country

Country

Postal code

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Desired Location for Franchise (Zip code specific) *

We need this to verify the brands have your area available

Timeframe to Begin *

Now
1-2 months
3+ months
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Approximate timeframe

Have you researched any franchise offers? If so, which ones:

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What type of business appeals to you (Check all that apply):

Retail

Home Based

Office Based

Mobile

Consumer Products

Fast Food

Service Industry

Owner Operated

Semi-Passive Ownership

Executive Model

Do you anticipate having partners?

Yes

No

Will you need funding? *

Yes

No

Total Liquid Cash Available to Invest *

Less than $15,000
$15,000-$25,000
$25,000-$100,000
$100,000+
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We need this to determine which brands you can qualify for, even with financing.

Estimated Net Worth

Estimate please. Assets - Liabilities = Net Worth

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