Ser-U-Clean - Professional janitorial services, office cleaning, carpet care, floor restoration

The questionnaire below is strictly for information of SERV-U-CLEAN and does not obligate nor bind you to purchase whatsoever. All information is kept strictly confidential for office use only.

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Name:*
Your E-Mail address:*
Street Address :*
City*	, Ontario
Postal Code :*
Phone and Ext. :*
Do you have any experience in operating your own business? If yes, what kind of business?
Yes No	Business type
Are you presently involved in the janitorial industry?
Which area of the city would you prefer to operate your own business? Give at least 3 choices:
1.* 2.* 3.* 4. 5.
How much income do you wish to earn monthly in your own business?* $ /month
*How much money is available for you to invest in your own business? $**
Are you bondable?	Yes No
Are you looking at this business opportunity for: Full Time? Part Time?
How soon would you be able to start your new business, if this is right business for you?*
How did you hear about SERV-U-CLEAN?

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