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Name of Company (if applicable)
Name (kanji)
*
Name (katakana)
*
Company position
ZIP code
*
Address
*
Telephone number
*
Facsimile number
E-mail address
*
Description of business
*
Where did you learn about Botejyu Express?
TV
Radio
Magazine
Friend/Acquaintance
Web Site
Other
Have you visited any of our restaurants?
Yes
No
What prompted you to request our franchise brochure?
Considering becoming an independent owner of a business
Considering new business opportunities for company
Considering a change in business
Other
What is your current level of interest in owning a franchise?
Would like to discuss in more details about the franchise system
If the conditions are right, would like to immediately sign an agreement
Not considering in definite terms at the moment
Do you have a prospective restaurant site in mind?
Yes
¢Í
Company-owned property
Leasing space
Address¡§
Condition of property¡§
vacant lot
under construction
vacant room
Other
Floor space¡§
m
2
No
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