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First Name: |
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Last Name: |
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Address: |
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City: |
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State: |
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Zip Code: |
(5 digits) |
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Phone:: |
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Email: |
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What type of business are you interested in?: |
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Have you previously owned a business?: |
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If so, what was it?: |
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How long have you been actively looking?: |
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What is your Time Frame for purchasing? |
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Are you relocating to purchase?: |
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What is your business or employment background?: |
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What are your strengths/weaknesses: |
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How much income do you need from a business?: |
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How much capital do you have to invest?: |
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Will you be purchasing a business on your own, or with family/partner/ others?: |
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How many hours do you want to commit to a business on a weekly basis? : |
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Are there any immigration issues?: |
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Other Information |
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