Confidential Questionnaire

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1 Personal Information

First Name*

Last Name

Phone*

Email*

Spouse/Partner

2 Address Information

City*

State*

Zip Code*

Desired Location (specify zip code):

3 Business Preferences

Time frame to begin*

Have you researched any other franchise offering? If so, which ones

4 Investment Details:

Will you need funding*

Yes

Do you anticipate having partners?*

Yes

Total Liquid Cash Available to Invest*

Total Investment Range*

Estimated Net Worth*

5 Business Type Preferences: What type of business appeals to you? (Check all that apply):

Retail
Consumer Products
Owner Operator
Home Based
Fast Food

Semi-Passive Ownership
Office Based
Service Industry
Executive Model
Mobile

6 Interest Ratings On a scale of 1-10 (10 being the highest), please rate your interest in the following areas:

Location : Salt Lake Sector V, Kolkata, 700098

Call : 1 (248) 466-0948

Mail : bai@pasdgtal.com

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