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Franchisee Confidential Questionnaire
Cannabis10x Exclusive Broker Network
PREFERRED FRANCHISE(S)
Please Select
No Preference
The Bake Shop
Nug
From the Earth
CBD Pros
Far & Dotter (Curio Wellness)
Fast Leaf
Unity Rd
Dreamz
REFERRING BROKER
*
Please Select
None
Bob Vearling
Brian Pearson
Erik Premont
Fabio Scocimari
Steve Warres
Ethan Jervik
Todd Mason
David Kaeser
Lili Varella
Tim Valencia
Carlos Calderon
Evelyn Romero
Bryan Butterstein
Karl Schoenleber
Bill Helton
Dylan Arthur
Peter Casey
Ferdinand Risco
Cameron Mason
Dino Chavez
Donna Goady
Amanda Tokos
Latrice Gwin
Kevin Baron
Pam Currie
Brandon Odeh
Patrick Cook
KL Fredericks
Chris Allen
Christian Rodriguez
Jeff Capaldo
Dwayne Murray
Telanda Sidari
Robert Pouncey
CONTACT INFORMATION
Full Name
*
First Name
Last Name
Address
*
Email
*
example@example.com
Phone Number
*
Name of your company (optional)
FRANCHISE PREFERENCES
Territory Preference (State)
Please Select
No Preference
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
IllinoisIndiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
MontanaNebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
PennsylvaniaRhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Are you interested in becoming an Area Developer? (Multi-Unit/Area Developer)
Yes
No
Business Involvement
Please Select
Active
Passive
Semi-Active
What is your business experience in the cannabis industry?
None
Some knowledge
Very experienced
Industry Professional
Other
CAREER
Current Position
Please Select
Entrepreneur
Business Owner
Employed
Unemployed
Current Industry
Management Experience
Yes
No
Are you a franchise owner?
Yes
No
If franchise owner, which brand(s)?
Upload Resume (optional)
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FINANCIAL
Current annual income?
Net Worth?
*
Amount to invest?
*
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