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U.S. Franchise Information Request Form

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U.S. Franchise Information Request Form

First Name *
Last Name *
Company Name *
Primary Telephone *
Cell or Alternate Telephone *
Email *
Confirm Email *
Permanent Address *
Country *
Street Address *
City *
State / Province *
Zip / Postal Code *
Which state(s) are you interested to develop the Emerald City Smoothie brand? *
Do you or your company currently own/operate business(es) in the state(s) selected above? *
Company Name *
Title *
Website *
Describe the nature of your company's business *
Please describe the experience you have that will contribute to helping you own/operate an Emerald City Smoothie *
Please provide the following financial information based on the most recent fiscal year (in US Dollars)
Net Worth *
Liquid Cash Available *
How many Emerald City Smoothie units do you want to open? *
Why do you think Emerald City Smoothie would succeed in the proposed geographic area? *
Why are you interested in Emerald City Smoothie? How does Emerald City Smoothie fit with your strategy? *
Is there anything you would like us to know about you? *
How did you hear about us? *
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