ENQUIRY.FORM

PERSONAL.PARTICULARS

NAME : ______________________________________ COMPANY : _____________________________________________

1. WHERE DID YOU FIRST HEAR OF MRBEAN? _____________________________________________________________2. ARE YOU INTERESED IN:

q MR BEAN’S PRODUCTION MACHINE ONLYq MR BEAN’S TOTAL BUSINESS CONCEPTq OTHERS (PLEASE INDICATE)

3, WHICH LOCATION OR TERRITORY ARE YOU INTERESTED IN OPERATING THE MR BEAN BUSINESS:

q SINGLE OUTLET q MULTIPLE OUTLETS q AREA TERRITORY q COUNTRY TERRITORY q REGIONAL TERRITORY

4. CURRENT OCCUPATION & BRIEF CAREER RECORD:__________________________________________________________________________________________________________________________________________________________________________________________________________

5. WHO WILL BE INVOLVED IN OPERATING THE BUSINESS:_____________________________________________________________________________________________________

6. DO YOU HAVE PAST WORKING EXPERIENCE IN RELATED TRADE? YES/ NO

7. ARE YOU INTERESTED IN THIS OPPORTUNITY FOR YOURSELF? YES/ NO

8. CAPITAL AVAILABLE TO OPERATE THE MR BEAN BUSINESS OPPORTUNITY: US$ ____________________________

I confirm my genuine interest in Mr Bean Business Opportunity and that the facts furnished above are true.

_________________________________________ __________________________SIGNATURE DATE

________________________________________NAME AND DESIGNATION OF SIGNATORY

* delete appropriately

ADDRESS : ______________________________________________________________ POSTAL CODE : ______________EMAIL : ____________________________________ TEL : ______________ (O) ______________ (M) ______________ (H)FAX: ______________ AGE: ________ MARITAL STATUS : SINGLE/ MARRIED*

MORE.INFORMATION