Franchise / Submission of Interest

Submission of Interest

Try to answer these questions as honestly as possible. It will help assess how suitable you are. For further information please contact the National Franchise Manager on (03) 8699 2555 or email . All fields are required. We value your privacy - please read our Privacy Policy.

First Name

Last Name

Residential Address

Home Telephone

Mobile

Email Address

Have you ever been declared bankrupt, or had any kind of legal proceedings brought against you?

Current Assets
Market value of your home	$
Market value of other property	$
Value of shares or other assets	$
Value of cars	$
Total cash savings	$

Current Debts
Total amount owing on your home	$
Total amount owing on other property	$
Total amount owing on shares or other assets	$
Total amount owing on cars	$
Total amount of other loans and/or credit cards	$

How do you propose to finance the purchase of your own TeleChoice Franchise

If other, please explain

I have read and accept the Terms of Use and Privacy Policy

Submission of Interest

Current Assets

Current Debts