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BUSINESS OPPORTUNITY FORM
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ALL FIELDS REQUIRED:
Personal Information
First Name
Last Name
Street Address
City
Province/State
Please Select
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
Newfoundland
PEI
New Brunswick
Nova Scotia
Please Select a State
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal/Zip Code
Country
United States
Canada
Afghanistan
AmericanSamoa
Anguilla
Antigua,Barbuda,Redonda
Argentina
Aruba
Australia
Austria
Bahamas
Bahrain
Belgium
Belize
Bolivia
Brazil
Bulgaria
Cayman, British West Indies
Chile
China
Colombia
Costa Rica
Croatia
Czech Republic
Dominica
Egypt
El Salvador
Finland
France
Germany
Greece
Grenada
Guadeloupe
Guam
Guatemala
Honduras C.A.
Hungary
Iceland
India
Iraq
Ireland
Italy
Jamaica
Japan
Kuwait
Lebanon
Luxemborg
Malaysia
Malta
Mexico
Netherlands
Netherlands Antilles
New Zealand
Nicaragua
Northern Mariana Islands
Norway
Oman
Pakistan
Panama
Philippines
Poland
Portugal
Puerto Rico
Qatar
Russia
Saudi Arabia
Singapore
Slovenia
South Africa
South Korea
Spain
St Kitts & Nevis
St Martin
Sweden
Taiwan
Tanzania
Thailand
Trinidad, West Indies
Turkey
United Arab Emirates
United Kingdom
United States
Uruguay
Us Virgin Islands
Venezuela
Zambia
How long have you resided in the area?
Select a Period
Less than a 1 year
1 to 5 years
5 to 10 years
10 to 15 years
15 to 20 years
20+
Contact Information
Email Address
Residential Phone
Cellular Phone
Business Phone
Fax
Work Experience
Present Occupation
Are you Self-Employed?
No
Yes
Name of Employer / Business
From
To
Brief Description of Duties and Responsibilities:
Prior Occupation
Name of Employer
From
To
Brief Description of Duties and Responsibilities:
Education
Completed:
High School Year Completed
College Year Completed
Degree
University Year Completed
Degree
Other Year Completed
Degree
Financial Information
Please enter the amount of liquid* cash available for investment in a Hydrodig business.
(Note: liquid cash is not borrowed and is not securing any existing debt obligation)
Please select an option
Less than $25,000
$25,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
over $100,000
What is your approximate personal Net Worth (value of all assets less all liabilities)?
Please select range
$50,000 - $100,000
$100,000 - $150,000
$150,000 - $200,000
$200,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $2,000,000
$2,000,000 and up
Objectives
Will You Have a Business Partner?
No
Yes
(Please Note: Each business partner must complete & submit a separate application.)
Name
Occupation
Relationship
Please select an option
spouse/life partner
family member
associate
friend
Additional Information
Do you have a preference as to a city/town/location?
City/Town/Location
Province/State
Please Select
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
Newfoundland
PEI
New Brunswick
Nova Scotia
Please Select a State
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
How much time would you devote to the business and in what capacity?
When would you like to start this Hydrodig business opportunity?
Immediately
3 to 6 months
6 to 9 months
9 to 12 months
1 year +
How did you hear about us?
Please select an option
Newspaper
Directory
Hydrodig Owner-operator
Trade Show
Internet
Magazine
Friend
Other
Please add any relevant information, comments, questions or any information which you feel would help us in our evaluation:
Qualified applicants will be contacted by a Business Development Manager.
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