Data Doctors Franchise Systems - Computer Service Franchise

Application

Please complete this initial questionnaire. We'll contact you shortly after you submit it, usually within a day. Make sure to indicate the best phone number and time to contact you.

First Name
Last Name
Spouse's Name
Address
City
State/Province	Zip
Country
Email
Office Phone	Home
Cell Phone	Fax
Best time and number to call
Current Occupation
Do you plan to have partners?
Please explain
Have you ever owned a business?	Have you ever managed a business?
How many stores do you plan?
Where do you plan to open?
Cash to invest in the business	$
Your total assets	$ Liabilities $
Where did you hear about Data Doctors?
Why are you interested in Data Doctors?
Please use this space for any additional information or comments

Note: This advertising does not constitute an offering. An offering can only be made by a Franchise Disclosure Document. In California: These Franchises have been registered under the franchise investment law of the state of California. Such registration does not constitute approval, recommendation or endorsement by the commissioner of corporations nor a finding by the commissioner that the information provided herin is ture, complete and not misleading. In Minnesota: Registration Number F-4934. In New York: This advertisement is not an offering. An offering can only be made by a prospectus filed first with the Department of Law of the State of New York. Such filing does not constitute approval by the Department of Law.