Name:
Surname:
Contact number:
Email Address:
Will you be attending the Mend A Wall open day?	Yes  No
Will it be your first time at the Mend A Wall open day?	Yes  No
Where did you hear about the open day?
In which area are you interested in starting a Mend A Wall franchise?
What industry do you currently work in?
What position do you hold?
Do you have the full R187 000.00 required to buy the rights to a Mend A Wall franchise?	Yes  No
If not, what amount will you require finance for (MAX 40%)?
Do you have any questions before you decide to come to the open day?