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Enquiry Form
Title :
SELECT
Mr
Mrs
Miss
Ms
Dr
First Name
*
:
Surname
*
:
Email Address
*
:
Address :
Address :
City :
State / Territory :
SELECT
NSW
VIC
QLD
ACT
WA
SA
NT
County :
Postcode :
Company :
Phone No
*
:
Alternative Phone No :
Best time to call
*
:
SELECT
Morning
Afternoon
Evening
Weekends
*
Mandatory Fields
Business Background
Currently ?
SELECT
Own a Business
Employed
Other
Have you owned and operated a business before?
SELECT
Yes
No
What type of business?
What is Your current Position?
Intentions & Expectations
In which locations do you wish to open a Battery Doctors Business?
Why do you want to start your own business?
When do you want to get started?
SELECT
Next 30 days
30 - 45 days
3 - 6 months
other
Will you devote full - time or part - time to this business?
SELECT
full - time
part-time
Will you have partners?
SELECT
Yes
No
Why do you believe you can successfully operate a BD reconditioning
business?
Financial Information
How much capital do you have to invest in starting your business?
SELECT
Below $10,000
$10, 000 - $15,000
$15,000 - $20,000
above $20,000
Other $
Do you anticipate obtaining additional funds to assist you in this business?
SELECT
Yes
No
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