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General Information
 *Name
*Address
*City
*Province/ State
*Country
*Zip / Postal
*Primary Contact Name
*Telephone Number
Fax Number
*Email Address
Date of Incorporation (MM/DD/YYYY)
Incorporated in City/ State or Country
Type of Organisation Private: Public:
(Select all that apply) Partnership: Other:
Legal form of Company Sole Proprietorship: Other:
Company Officer(s) / Officially Designated
to Sign Master Franchise Agreement:
   
PoolWerx Opportunity
Why are you seeking a business
opportunity with PoolWerx?
Have you previously applied for
a PoolWerx Master Franchise?		 Yes No
How did you hear about the PoolWerx
Master Franchise opportunity?
What will your involvement be in
the Master Franchise venture?
Why do you believe you would be a
successful PoolWerx Master Franchisee?
 What region or country are you applying for?
Business and Development
Please describe the primary business of
your company
How will the franchise development be
financed?(identify sources of capital)

How many PoolWerx Single Unit Franchises do
you believe your preferred territory would support
On what evidence or information do
you base your response above?
Do you currently own any other
franchise businesses?		 Yes No
 




 
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