Complete this Inquiry Form to learn more about licensing the MegaWash Business Model.

1. I would describe myself as:

   Future business ownerInformation seekerLaundromat business ownerAccredited InvestorDry-cleaning business owner
   

2. Please provide the following contact information:

   First Name
   Last Name
   Street Address
   Address (cont.)
   City
   State/Province
   Zip/Postal Code
   Country
   Work Phone
   Home Phone
   FAX
   E-mail

    

3. Enter your current occupation below.

   
   

4. Would you like to be contacted regarding available MegaWash 24/7 CLEANERS Franchise opportunities in your area?

   Yes
   No
   

5. How should we contact you?

   Home phoneCell phoneEmailBusiness phone

    

6. When is the best time to contact you?

   8AM - NoonNoon - 5PM5PM - 9PM
   

7. Describe your credit history.

   I've had credit problems in the pastMy credit history is goodI have an excellent credit history
   

8. What is your estimated Personal Net Worth?

   
   

9. What is the primary source of your investment capital?

   Personal net worthBusiness loanPrivate investorsFamily
   

10. Will you agree to execute a Non-Disclosure Agreement and a Personal Financial Statement prior to our disclosure of confidential information?

    YesNo
    

11. How much capital are you prepared to invest in a business venture?

    $125,000+$75,000 - $124,000$25,000 - $74,000$10,000 - $24,000
    

12. What stage in the due-diligence process are you?

    Just started thinking about investing in a business ventureSelected several types of business for closer scrutinyNarrowed my interest to the Laundry/Dry-cleaning industryActively looking for a Laundry/Dry-cleaning businessStilling looking for the right kind of business opportunity
    

13. I want to acquire a business within:

    Less than 3 months3-6 months6-12 months1-2 years
    

14. How much time can you devote to a business?

    Full-time operatorPart-time operatorAbsentee operatorPassive investor
    

15. Which business opportunity are you interested in?

    Client Opportunity AnalysisMegaWash Store License24/7 CLEANERS LicenseMegaWash & 24/7 Cleaners License
    

16. Send me the Non-Disclosure Agreement and Personal Financial Statement forms, I'm ready to start the process.

    YesNo
    

17. What type of internet connection do you have?

    Dial-upBroadband (DSL, cable, etc.)