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Personal Profile
Date:
E-mail address:
Name:
Name of spouse:
Day phone:
Evening (home) phone:
Address:
City:
Postal Code:
Which Quik Representative referred you to this site?
Are you willing to follow our established franchise devolpment proceedures?
YES
NO
PERSONAL:
(answers to questions in this area are OPTIONAL)
Single
Married
Seperated
Divorced
Number of minor children:
Ages of children:
Your date of birth:
Spouse's date of birth:
Have you ever owned your own business/franchise?
Yes
No
If Yes, give details:
FINANCIAL INFORMATION:
Do you have the capability to invest approximately $70,000 plus working capital ?
Yes
No
Will you need financing for this franchise?
Yes
No
Do you plan on having a partner?
Yes
No
If so, will the partner be active?
Yes
No
Do you plan on having investors?
Yes
No
If so, to what extent?
(note that all partners and/or investors will be required to submit a completed copy of this form)
Geographical area of preference?
1.
2.
3.
Are you willing to relocate?
Yes
No
When would you want to start your new business?
How did you happen to become interested in Quik Internet?
As you consider your experiences and abilities, you feel that you can operate a successful business of this type because?
PLEASE READ:
It is understood that the purpose of this questionaire is for information only, and it is in no way binding upon either Quik International or the applicant. It is however understood that the applicant has supplied the information contained to the best of his/her knowledge and ability and that Quik International relies on that fact in assessing the qualifications and desirablility of the applicant. Applicant understands that further information may be needed to approve the applicant for the purchase of the franchise that Quik International offers. By executing this form, applicant authorizes Quik International to further verify any information herein (with the exception of any employers or other contacts clearly marked "DO NOT CONTACT" by applicant).
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