|
Mr.
Mrs.
Ms. |
|
| First Name: |
|
| Last Name: |
|
| Address: |
|
| City: |
|
| Province: |
|
| Daytime Phone: |
|
| Email Address: |
|
| I found out about Perfect Turf: |
|
| My current occupation is: |
|
| I am interested in securing territory in: |
|
| I am looking to potentially invest in your distibutorship program: |
|
Immediately
Within 30 Days
Within 60 Days
Within 6 Months
Undecided |
| I have owned and operated a business before:
Yes
No
|
| Amount available for inital investment: |
|
|
$5,000 - $15,000
$15,000 - $25,000 |
| Amount available for working capital: |
|
|
$5,000 - $10,000
$10,000 - $20,000
$20,000 - $50,000
|
| I will be working: |
|
|
Alone
With
my spouse
With a business partner
With a group
|
| I have a home office setup and I own the following: |
Computer
Fax
Accting/Billing Software
Sales Mgmnt Software
Truck / SUV
Tools and Equipment
Trailer |
| Please provide a brief summary of your business/professional experience: |
|
|
| I want to purchase a distibutorship and get involved with Perfect Turf because: |
|
|
|