This form is intended to collect information that will give us an overview of your potential to become one of our franchisees. Please note that all information you provide will be treated confidentially.
How were you informed of the availability of Qualiclean franchises?
What type of franchise are you interested in? *
For what territory or region? *
Canadian citizen (or permanent resident)
Language of communication
What is your full name? *
Would you be the sole shareholder in your company?
If not, what is the name of your partner?
Do you own or rent your home? *
Present home address
Are you presently the owner of your company?
If yes, its company name
How much money would you believe to have to invest in installing and starting your franchise?
Phone number *
What is the best moment to contact you? *
Comments and/or questions