You are interested and would like to set up a franchise. You would like to know more about the figures... ... Please fill out the form to tell us about yourself. We will then contact you.   or by phone George HONEIN or Fahad ZAIN ALABEDINE 00973 1770 8020 00973 1770 8020

Please fill out all the sections of this form. PERSONAL INFORMATION : Name :   Surname : Date of birth :   Marital Status :   Children :   Telephone : Fax :   E-mail : Nationality : Street : Town : County : Postcode :

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You would like to set up a Franchise ...

In which area would you like to set up your Franchise ? What financial investment would you be looking to make? Area Between 10,000 and 20,000£ More than 40,000£ between 20,000 and 40,000£   MANAGEMENT OF YOUR BASIC SYSTEM FRANCHISE : How did you hear about us?   Alone With a business partner With a friend With your spouse When would you like to start? Immediately 6 Months In 2 to 3 Months Other Describe the qualities you think are necessary for your success at the head of a BASIC SYSTEM® Franchise.