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Franchisee Confidential Questionnaire
Cannabis10x Exclusive Broker Network
PREFERRED FRANCHISE(S)
Please Select
No Preference
The Bake Shop
Dadirri
Nug
From the Earth
CBD Emporium
Space Weed
CBD Pros
Far & Dotter (Curio Wellness)
Eufloria
Referring Broker
*
Please Select
Pam Currie
Shari Currie Skjoldager
Brad Thomas
Chad Olson
Gary See
Jeff Lutz
Jerry Rieder
Joe Fedorchuk
Mark Gilleland
Trish Benedik
Matt Rieder
Robert Edwards
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?
*
Source
*
Franchise City CQ
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