Potential Franchisee Form Full name * Email address * Profession Gender * MaleFemale Date of Birth Nationality Contact Number * Business Card Scan (Optional) Who Am I?* Potential FranchiseeVisitorAgentOthers (Please Specify) I am here to: Source for new franchise businessLook for new suppliers / productsDo market researchPlan to book for a booth for next eventOthers (Please Specify) Have you owned a franchise business before? YesNo If Yes, how many stores: If Yes, where is/are the location(s)? Are the stores still in business now? YesNo Reasons for wanting to own a franchise (Select whichever applicable) MoneyBe own bossFlexible hoursRetirementInvestmentStandardized products and systemsCollective buying powerNational and local advertising programsSales and marketing assistanceOngoing market research and development Franchise Budget Less Than US$15,000US$15,000 – US$20,000US$20,001 – US$30,000US$30,001 – US$40,000US$40,001 – US$50,000Above US$50,001N.A. Areas of Interest - List the area(s) in which you would like to open a store(s) When do you plan to open your first franchise store? I hereby confirm that I am giving the information on my own accord. I understand that the above provided information will be included in the database of SNJCO MANAGEMENT (M) SDN BHD and other exhibitions organised/participated by SNJCO and its affiliated companies. I also acknowledge and agree that SNJCO may use the above information for promotion, direct marketing and business matching purposes. Please check this box if you would like to start/continue to be on the contact list receiving latest marketing and promotional materials from SNJCO and its affiliated companies.