Name:
Address:
City:
Province/State:
Country:
Postal/Zip:
Home Phone:
Work/Cell Phone:
Best Time to Call:
Email Address:
 
Capital To Invest
 
Investment Timeframe
 
How did you hear about Beaners?
 
What interested you in
the Beaners Franchise?
 
Have you ever visited
a Beaners Fun Cuts for Kids?
 
Which type of Franchise are you interested in?
 
Where are you interested in opening a Beaners location? Please specify by city and province/state.
 
Questions or Comments: