6550 Sims Road
Sterling Heights, MI 48313
www.batterygiant.com info@batterygiant.com
Tel: 586.446.6194
Fax: 586.446.6198

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Personal Information
Full Name		Street Address
Spouse's Full Name		City
Will your spouse be involved in the business? Yes No		State
		Zip
Email		Home Phone
		Cell Phone


What is the best time to contact you?		How did you hear about us?
Why are you investing in franchise opportunity?		When would you like to open a business?
Are you considering any other business or franchise opportunity? If yes, who?		What interested you the most about our franchise?
What geographic area are you most interested in?

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 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 jurisdiction.

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Personal Information