BECOME A DOLLAR STORE OWNER FORM

Liberty Opportunities, Inc. is a family owned business. We establish long term relationships with our store owners and are dedicated to helping them achieve their dreams.

If you have reviewed the information on this web site and have decided to take the next step towards the purchase and ownership of a Liberty Dollar Store package, please take a few moments to complete the following questionnaire.

* Required
* Name:
* Street Address:
Address:
* City
* State/Province
* Zip/Postal Code
Country:
* Phone: () -
Best Time to Call:
FAX:
* E-Mail:

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

Yes No

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

What is your occupation?:

Please select the investment package desired from the options below:

$272,900 - 10,000 square feet
$247,900 - 9,000 square feet
$222,900 - 8,000 square feet
$197,900 - 7,000 square feet
$172,900 - 6,000 square feet
$147,900 - 5,000 square feet
$122,900 - 4,000 square feet
$92,900 - 3,000 square feet
$72,900 - 2,000 square feet
$52,900 - 1,500 square feet
$42,900 - 1,000 square feet

Do you need assistance obtaining financing?:

Yes No

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?:

Yes No

Will you be using collateral to secure financing?:

Yes No

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

Will you be working with a partner?:

Yes No

What is the timeframe for purchasing your Dollar Store package?:

How did you learn about our company?:

Thank you very much for taking the time to complete the questions above. Please submit the form by clicking the submit icon below

      

We will contact you to provide additional information, answer your questions, and provide assistance throughout the purchase and ownership process. This application is for informational purposes only and does not constitute a binding agreement by either party.

Thank you very much for choosing Liberty. We look forward to serving you. If you prefer to speak to us, please call us toll-free at 800-443-8407 (toll free) or 501-327-8031.