Confidential Questionnaire
First Name:
Last Name:
Phone:
Email:
Spouse/Partner:
Address:
City:
Zip code:
Desired Location:(specify zip code):
State:
Time frame to begin:
Have you researched any other business opportunities? If so, which ones ?
What type of business appeals to you?
Will you need funding?
Do you anticipate having partners?
Total Liquid Cash Available to Invest:
Total Investment Range:
Estimated Net Worth:
Choose your interests from the following:
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