Potential Franchisee Form

Full name *

Email address *


Gender *

Date of Birth


Contact Number *

Business Card Scan (Optional)

Who Am I?*

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?

If Yes, how many stores:

If Yes, where is/are the location(s)?

Are the stores still in business now?

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?