PERSONAL INFORMATION SHEET

The following confidential information will enable ProductsFrom.com to learn about you and your potential to become a franchise/franchisor owner. The submission of this information does not obligate you ProductsFrom.com in any way.

NAME: ______RES. PHONE: ______

ADDRESS: ______BUS. PHONE: ______

EMAIL:______WEBSITE?:______

CITY: ______PROV: ______POSTAL CODE: ______

the Best time for us to call you is: Home: ______Business: ______

PERSONAL DATA:

AGE: _____MARITAL STATUS: ______NUMBER OF DEPENDANTS: ______

SPOUSE’S NAME: ______SPOUSE’S OCCUPATION: ______

WHICH COUNTRY ARE YOU A CITIZEN OF? ______

BUSINESS AND/OR WORK EXPERIENCE:

1.PRESENT/MOST RECENT EMPLOYER: ______HOW LONG?______

POSITION HELD: ______

2.PREVIOUS WORK EXPERIENCE (Please write on additional pages if necessary).

A.______

B.______

C.______

3.HAVE YOU EVER OWNED OR OPERATED A SMALL BUSINESS: YES______NO______

IF YES PLEASE PROVIDE PARTICULARS:______

______

4.HOW LONG HAVE YOU BEEN LOOKING FOR A BUSINESS OPPORTUNITY?______

______

5.WHAT ARE YOUR REASONS FOR STARTING YOUR OWN BUSINESS? ______

______

______

______

6.HOW DID YOU HEAR ABOUT ProductsFrom.com™? ______

______

EDUCATION

HIGH SCHOOL COMPLETION OF GRADE:______LOCATION:______

COLLEGE / UNIVERSITY DEGREE: ______LOCATION:______

OTHER EDUCATIONAL COURSES:

______

______

______

WHAT ACTIVITIES OR HOBBIES DO YOU ENJOY? ______

WHAT ORGANIZATIONS, IF ANY, ARE YOU ASSOCIATED WITH?______

______

PLEASE TELL US ABOUT YOUR BUSINESS GOALS

WHAT DATE, OR WHEN WOULD YOU LIKE TO START YOUR BUSINESS? ______

WHERE WOULD YOU LIKE TO OPERATE YOUR BUSINESS? ______

DO YOU PLAN TO OPERATE THE BUSINESS YOURSELF? YES______NO ______

DO YOU PLAN TO OPERATE THE BUSINESS AS A:(1) Corporate entityYes ______No ______

(2) PartnershipYes ______No ______

(3) ProprietorshipYes ______No ______

IF APPLICABLE, WHO WILL BE YOUR BUSINESS PARTNER? ______

IF APPLICABLE WILL HE/SHE BE ACTIVE IN OPERATING THE BUSINESS? YES_____ NO_____

IF SO IN WHAT CAPACITY? ______

WHAT QUESTIONS OR CONCERNS, IF ANY, DO YOU HAVE ABOUT OPERATING YOUR OWN

FRANCHISED BUSINESS? ______

______

______

______

______

______

______

______

______

______

______

PLEASE PROVIDE US WITH SOME IMPORTANT FINANCIAL INFORMATION

ASSETSLIABILITIES

Cash on Hand$______Bank Loans $______

Real Estate$______Mortgages $______

RRSP’s$______Credit Cards $______

Stocks/Bonds$______Dept. Stores $______

Other Property$______Invest. Loans $______

Life Ins. CSV$______Family/Other $______

Other Assets$______Other $______

Total Assets$______Total Liabilities$______

Total Net Worth (Total Assets minus total liabilities) $______

What amount of money are you prepared to invest into your new business venture? ______

Are you personally supporting any contingent liability such as co-signer, endorser and or guarantor on behalf of any relative or friend? Yes______No ______

I understand that ProductsFrom.com will keep all information on this Personal Information Sheet strictly confidential.

Thank you for helping us to get to know you better.

IT IS EXPRESSLY UNDERSTOOD THAT THE SUBMISSION OF THIS INFORMATION DOES NOT CONSTITURE A CONTRACT AND DOES NOT OBLIGATE EITHER THE COMPANY OR THE APPLICANT IN ANY MANNER. THE APPLICANT CONFIRMS THAT THE INFORMATION DISCLOSED HEREIN IS ACCURATE AND TRUE AND THAT THE COMPANY IS ENTITLED TO USE APPROPRIATE MEANS IN DETERMINING THAT THE INFORMATION DISCLOSED IN THIS DOCUMENT IS INDEED A TRUE REFLECTION OF THE APPLICANTS PERSONAL AND FINANCIAL QUALIFICATIONS.

Dated this _____day of ______200 Signature of Applicant(s)______

______

Please fax/post back to:

Franchise Opportunity

C/- Products From New Zealand Ltd

PO Box 128 259, Remuera,

Auckland,

New Zealand

Fax: +64 21 785 241

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