CONVERSION CANDIDATE
CONSIDERATION FORM


COMPANY NAME*


PRINCIPAL'S NAME*


TITLE*

PRINCIPAL'S CELL*


PRINCIPAL'S E-MAIL*


STREET ADDRESS*


PHONE*


CITY*


STATE*


ZIP*


# OF EMPLOYEES*


WEBSITE ADDRESS


YEARS IN BUSINESS*


ANNUAL SALES*


DESCRIPTION OF BUSINESS*

Remaining Characters: 500

ARE YOU LOCATED IN A*

Mall (name)
Power Center (name)
Other (describe)
 

DO YOU*

Sell Jewelry
Sell Watches
Repair Jewelry
Repair Watches
Design Jewelry
Repair Eyeglass Frames
Repair Smart Devices
 

IS BUSINESS RUN AS*

Owner Operated
Semi-Absentee Owner
Absentee Owner
 

HOW DID YOU HEAR ABOUT FAST-FIX JEWELRY AND WATCH REPAIRS?

Remaining Characters: 300




This information is not intended as an offer to sell, or the solicitation of an offer to buy, a franchise. It is for information purposes only. Currently, the following states regulate the offer and sale of franchises: California, Hawaii, Illinois, Indiana, Maryland, Michigan, Minnesota, New York, North Dakota, Oregon, Rhode Island, South Dakota, Virginia, Washington, and Wisconsin. If you are a resident of or want to locate a franchise in one of these states, we will not offer you a franchise unless and until we have complied with applicable pre-sale registration and disclosure requirements in your state. Franchise offerings are made by Franchise Disclosure Document only.