Are you planning on opening the Dollar Store in your current city?:

If no, where do you plan on opening the store?:

What is your occupation?:

Please select the investment package desired from the options below:

Do you need assistance obtaining financing?:

If Yes, in order to help us assist you in the funding process, please provide us with the following information:

What percentage of the investment package selected above will require financing?:

Do you consider your credit rating to be in good standing?:

Will you be using collateral to secure financing?:

If, yes what type of collateral do you plan on utilizing?:

Will you be working with a partner?:

What is the timeframe for purchasing your Dollar Store package?:
6 Months to 1 Year 3 to 6 Months 1 to 3 Months Immediate

How did you learn about our company?:
[Select one] Search Engine Newspaper or Magazine Existing Store Owner Link from another Website Family, Friend or Colleague Other

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