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Franchise Inquiry

Building For Health Materials Center Franchise Opportunity, Step 1!

Complete the form below. We will then review your answers and contact you to set up a phone interview.

*Personal Information:*
* E-mail Address
* First Name
* Last Name
Street Address
* City
* State
* Zip/Postal Code
* Country
* Daytime Phone
Mobile Phone
Fax
Current Occupation
Partner Name(s)

*Market of Interest:*
1st choice location (City):
2nd choice location (City):
State
Country

*Other Information:*
Will you have a partner(s)?	Yes	No
Have you owned a business in the last ten years?	Yes	No
Do you have experience in business or retail management in the last ten years?	Yes	No
Do you have strong management, marketing and communication skills or related experience?	Yes	No
Are you actively involved in your community?	Yes	No
Do you plan on devoting full time efforts to a Building for Health Franchise?	Yes	No
Are you planning to make a business decision about a Franchise within 60 days?	Yes	No

*Financial Information:*
Will you and your business partner have combined available capital above $350,000?	Yes	No
* What is your financial net worth?	Under $100,000 Under $250,000 Under $500,000 Under $750,000 Over $750,000
* What is your liquid net worth?	Under $50,000 Under $100,000 Under $250,000 Under $350,000 Under $500,000 Under $750,000 Over $750,000

*How did you hear about us?*
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