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Form to be completed by potential franchisee
(each shareholder of the potential franchise must fill out a form)

*Required fields

* City :

* Potential sector :

Address of potential location :

* Full name :

* Adress :

* Phone :



* Email :



* Yearly income ($) :

* Job occupation :

* Business experience :



* Available capital
to invest in this project :

* Intended shares
in this project (%) :

* Intended involvement
(position, hours, etc.) :

* Assets :

Real estate ($) :
Businesses ($) :
Investments ($) :
Liquid assets ($) :
Vehicle ($) :
Other ($) :


* Liabilities :

Mortgages ($) :
Debt / Loans ($) :
Credit used ($) :

Net worth ($) :







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