Billboard Connection


			Franchise Information Request

			To find out more about Billboard Connection – or to get the franchise process moving forward – please use the application below to tell us a little bit more about yourself. You have our guarantee that your answers will be kept confidential, that they will not be shared with any third-party and that your responses are fully encrypted by our Secure Sockets Layer software.

			PERSONAL DATA

			First Name
			Last Name
			Email
			Address
			Address
			City
			State
			Zip
			Country
			Day Phone
			Eve Phone
			Cell Phone
			How did you hear about us? *Required
			If INTERNET, what keywords did you use?
			If MAGAZINE, which one?
			If REFERRAL, who?
			If STORE VISIT, which one?
			If NEWSPAPER, which one?
			If OTHER, please describe...

			EXPERIENCE

			Are you currently employed?
			What is your occupation?
			Have you owned your own business?
			Name 3 strengths that you possess, that will enable you to be successful in your own business. (Top 3)

			TIMING AND DECISION MAKING

			When would you like to open your business?
			How long have you been looking for your own business?
			Where would you like to open your business?
			How much time are you willing to commit to your new business? (Hours Per Week)
			How are you planning to run your business? (Check One)

			FINANCIAL DATA

			Your current salary is:
			What is the amount of capital you are willing to invest in Billboard Connection?

			Please press Submit once. Also, please note the form can take up to a minute to process.



			The communications made through this web page should not be construed as an offer to sell a franchise in, nor are the communications directed by or on behalf of Company to the residents of, any jurisdiction that requires registration of a franchise prior to offering and selling the franchise in that jurisdiction. No franchises will be sold to any resident of any such jurisdiction and the required Uniform Franchise Offering Circular, if any, has been delivered to the prospective franchisee before the sale in compliance with applicable law. Nothing in this disclaimer should be construed as a waiver of any applicable exemption provisions that may be available to the Company.

6:32:01 PM EST Friday, October 10, 2008

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