In submitting this completed form, it is understood you are under
no obligation. If a review of this preliminary information indicates
that you may have the qualifications to become a franchisee,Cybervision
(M) Sdn. Bhd. will provide more information on the opportunities
available for a qualified individual to become a COMPUTERTOTS® /
COMPUTER EXPLORERS® franchisee. If you prefer, you may print this
form and mail it to CYBERVISION SDN. BHD. 39-1, The
Boulevard, Mid-Valley City, Lingkaran Syed Putra, 59200 Kuala Lumpur,
Malaysia Or FAX us at 603-2287 6632.
Personal Information
Full Name:
Street Address:
City:
State:
Postal Code:
Home Phone:
Business Phone:
Complete E-mail Address:
Date of Birth:
Marital Status
MarriedSingle
Spouse's name:
Would you prefer to be contacted at home or at work to set up a
telephone interview?
HomeWorkEither
How did you learn about COMPUTERTOTS® / COMPUTER EXPLORERS®
franchise?
Territories in which you are interested?
Financial Information
Annual Household income:
Self:
(spouse or other:)
Please indicate the amount of cash you have available to invest in a
COMPUTERTOTS® / COMPUTER EXPLORERS® business:
COMPUTERTOTS® / COMPUTER EXPLORERS® does not provide financing. If
you do not have the full amount needed to purchase the franchise, what
are your plans for financing?
Business Operation
When would you be able to start?
Do you anticipate a partner? YesNo
If yes, relationship to you:
Their role in business:
Why are you a good candidate for this opportunity?
Employment summary and experience
Finally, click "Send Request", or "Reset Form"
to start over.
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your name, address and phone information.
