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Request for Franchise Information

Mr. Electric is a professional franchise organization seeking associates with the energy and drive who are capable of using our systems and support. The first step to a future with us is now up to you. If you feel you could be a Mr. Electric franchisee and would like further information, fill out and submit the form below.

Note: Required fields are marked with an asterisk ( * ).

Contact Information

First Name: *
Last Name: *
E-mail: *
Phone: *	Ext:
Fax:

Address

Address: *
City: *
State/Province: *
ZIP/Postal Code: *
Country: *

Business Background

Within what area are you interested in locating your business?

City: *
County: *
State/Province: *

When are you interested in starting your business?

ASAP

3-6 months

6-9 months

9-12 months

12-18 months

18-24 months

over 2 years

What amount of cash are you prepared to invest to start your own business?

Under 50K

50-100K

100K-250K

Over 250K

If you are a veteran you may qualify for a discount. If you’d like to indicate your status as a veteran answer below:

Veteran?

Yes

Where did you hear about us?*

Other:

Please enter any other information that you believe would assist us in evaluating your qualifications:*

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