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*Salutation :
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Middle Initial :
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Permanent Resident of :
Select permanent resident
Canada
United States
American Samoa
Seychelles
Bahamas
Germany
Rwanda
United Arab Emirates
Liberia
Netherlands
Tuvalu
Chad
San Marino
Jamaica
Costa Rica
Niger
Hungary
Mongolia
Pakistan
Swaziland
Panama
Peru
Finland
Haiti
Czech Republic
Italy
Djibouti
Chile
Afghanistan
Zimbabwe
Jordan
Mexico
Bermuda
China
Comoros
Belarus
Azerbaijan
Guyana
Iraq
Barbados
Anguilla
Guatemala
Spain
Argentina
Aruba
Portugal
Egypt
Morocco
France
Hong Kong
Mozambique
Maldives
Uzbekistan
Malaysia
Macao
Georgia
Cayman Islands
Austria
Turkmenistan
Sweden
Nauru
Qatar
Kyrgyzstan
Palau
Latvia
Burkina Faso
Malta
Montserrat
Ukraine
Slovakia
Tunisia
Sierra Leone
Benin
Thailand
Namibia
Romania
Suriname
Russian Federation
Macedonia
Brazil
Equatorial Guinea
Guinea
Bulgaria
Honduras
Sudan
Cook Islands
Western Sahara
Ireland
Jersey
Denmark
Solomon Islands
Mali
South Africa
Eritrea
Somalia
Nigeria
Venezuela
United Kingdom
Belgium
Croatia
Madagascar
Saudi Arabia
Papua New Guinea
India
Oman
Taiwan
Gibraltar
Slovenia
Monaco
Gambia
Nepal
Guam
Albania
Japan
Senegal
Fiji
Switzerland
Yemen
Cuba
Bangladesh
Bolivia
Grenada
Bhutan
Nicaragua
Colombia
Israel
Greece
Algeria
Uganda
Malawi
Bahrain
Central African Republic
Puerto Rico
Cote d'Ivoire
Turkey
Australia
Botswana
Paraguay
Kuwait
New Zealand
Luxembourg
Ethiopia
Iceland
Burundi
Armenia
El Salvador
Lithuania
Kiribati
Cyprus
Mauritius
Mauritania
Cameroon
Poland
Ghana
Tajikistan
Cape Verde
Kenya
Saint Lucia
Gabon
Uruguay
Lebanon
Marshall Islands
Dominica
Togo
Samoa
Lesotho
Kazakhstan
Angola
Singapore
Belize
Andorra
Tonga
Ecuador
Montenegro
Sri Lanka
Dominican Republic
Philippines
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Netherlands Antilles
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*Address :
Address 2 :
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Canada
United States
American Samoa
Seychelles
Bahamas
Germany
Rwanda
United Arab Emirates
Liberia
Netherlands
Tuvalu
Chad
San Marino
Jamaica
Costa Rica
Niger
Hungary
Mongolia
Pakistan
Swaziland
Panama
Peru
Finland
Haiti
Czech Republic
Italy
Djibouti
Chile
Afghanistan
Zimbabwe
Jordan
Mexico
Bermuda
China
Comoros
Belarus
Azerbaijan
Guyana
Iraq
Barbados
Anguilla
Guatemala
Spain
Argentina
Aruba
Portugal
Egypt
Morocco
France
Hong Kong
Mozambique
Maldives
Uzbekistan
Malaysia
Macao
Georgia
Cayman Islands
Austria
Turkmenistan
Sweden
Nauru
Qatar
Kyrgyzstan
Palau
Latvia
Burkina Faso
Malta
Montserrat
Ukraine
Slovakia
Tunisia
Sierra Leone
Benin
Thailand
Namibia
Romania
Suriname
Russian Federation
Macedonia
Brazil
Equatorial Guinea
Guinea
Bulgaria
Honduras
Sudan
Cook Islands
Western Sahara
Ireland
Jersey
Denmark
Solomon Islands
Mali
South Africa
Eritrea
Somalia
Nigeria
Venezuela
United Kingdom
Belgium
Croatia
Madagascar
Saudi Arabia
Papua New Guinea
India
Oman
Taiwan
Gibraltar
Slovenia
Monaco
Gambia
Nepal
Guam
Albania
Japan
Senegal
Fiji
Switzerland
Yemen
Cuba
Bangladesh
Bolivia
Grenada
Bhutan
Nicaragua
Colombia
Israel
Greece
Algeria
Uganda
Malawi
Bahrain
Central African Republic
Puerto Rico
Cote d'Ivoire
Turkey
Australia
Botswana
Paraguay
Kuwait
New Zealand
Luxembourg
Ethiopia
Iceland
Burundi
Armenia
El Salvador
Lithuania
Kiribati
Cyprus
Mauritius
Mauritania
Cameroon
Poland
Ghana
Tajikistan
Cape Verde
Kenya
Saint Lucia
Gabon
Uruguay
Lebanon
Marshall Islands
Dominica
Togo
Samoa
Lesotho
Kazakhstan
Angola
Singapore
Belize
Andorra
Tonga
Ecuador
Montenegro
Sri Lanka
Dominican Republic
Philippines
Zambia
Netherlands Antilles
Turks and Caicos Islands
Norway
Estonia
*Province/State :
Select region
*City:
Select city
*Postal/ZIP Code :
*Telephone :
Best time to call :
Morning
Afternoon
Evening
Weekends
*Email Address :
FINANCIAL PROFILE
Personal Net Worth:
$99,000 - Or Less
$100,000 - $199,000
$200,000 - $299,000
$300,000 - $500,000
$500,000+
Individual Liquid Assets:
$51,000 - Or Less
$51,000 - $75,000
$76,000 - $99,000
$100,000+
Available Capital to Invest :
$75,000 - $99,000
$100,000 - $150,000
$151,000 - $199,000
$200,000 - $249,000
$250,000+
Would this location be your sole
Source of Income?:
Yes
No
Do you have access to other financing? :
Yes
No
OPERATIONS & INTERESTS
Which type of KORE Fit Living store are you interested in? :
KORE with Nitrition Bar
KORE without Nitrition Bar
KORE Express
Have you owned a business in the past?
Yes
No
If qualified, when will you invest in a franchise?
Immediately
1-3 Months
4-6 Months
7-12 Months
1 Year+
Will you be involved in day-to-day management of your KORE Fit Living Franchise?
Yes
No
Somewhat
Will you have a partner?
Yes
No
*In which province/territory are you interested in opening your KORE Fit Living Health Boutique?
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
If other, please specify
Are you looking to convert your existing Vitamins and/or Sports Nutrition store to KORE Fit Living? :
Yes
No
Additional Information
Why are you interested in a KORE Fit Living franchise?
What is your past business experience?
Why do you think you would be successful in KORE Fit Living's business model?
*Required Fields
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