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Info Request Form

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Request for Information

Please complete this form so that we may send you more information about our Franchise or Master Franchise opportunities. All information will be treated in complete confidence.

Information will be provided by email to the email address that you enter on this form.

Interest in -             Master Franchise                Franchise      

Full Name 
Address 
City 
Province
Postal Code
Country 
Telephone/Best contact time        
Alt Telephone/Best contact time       
Email Address  
How did you find us?
Working Funds Available  
Will you be seeking financing?   No  Yes Partial
What is your current occupation?
What sort of timeframe are you considering for setting up your own business?
If you join us would you operate this business full-time or part-time?

    Full Time                        Part Time  

Start part-time and switch to full time

Certifications, qualifications and area of expertise:

 

 

Other (please name)

A+

MSCE

CCNA

MCP

Please rate your skills and experience in each of the following areas on a scale of 0-10 (with 0 being no knowledge or experience, and 10 being excellent)

General PC Hardware

Win 95/98/ME

Win NT/2000

Windows XP

Mac hardware and software

MS Office

Accounting Software

Desktop Publishing

Virus protection and removal

Firewalls/Internet Security

Internet and Email setup

Peer-to-peer networks

Client-Server networks

Novell Netware

Wireless Networks

Unix or Linux

TCP/IP

Data Backup and Recovery

Software application training

IT Consulting and Advice

Web site development/HTML

Database programming

What do you believe to be your primary strengths related to the computer troubleshooting business?
Please list any comments or questions that you would like to have answered

               

If you have any problems in submitting this form please email canada@comptroub.com


 

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Last modified: September 10, 2003