Name:
Birth date:
E-mail:
Adress:
City:
State:
Gender: Male Female
Country:
Home phone:
Office phone:
Time living in your actual adress:
Your house is: Own Rented
Nationality:
If foreign indicate your state of residence:
Marital status:
Number of children and ages:
Ocupation:
Name of the company where works now:
PoYestion:
Place or cities where you want to open our franchise:
How much time going to invest in this business?: Partial Complete
¿Who would operate the business?
Has own businesses?
Explain:
Do you have experience in coffee businesses?
Explain:
Are you owner of a franchise?
Explain:
Have you a location? Yes No
Why are you interested in our franchise?
How did you hear about our franchise?
Do you know any of our coffee shops?
What is the range of investment willing to make?
Have you any other franchise? Yes No
Have you been denied the granting of any franchise? Yes No
Will you look for funding to get the franchise? Yes No
Monthly Income
Monthly expenditure (individual and family)
Comments or questions:

Calzada Abastos #1620 Nte. Local 8
Torreón Coah. México
©2008 Java Times Caffé Trading. All rights reserved.