Franchisee Application Form

1. PERSONAL DETAILS
First Names Last Name
I.D. No
Employer No. Of Years

2. CONTACT AND ADDRESS DETAILS
Business No Home No
Cell No Email
Residential Address
Residential Code
Postal Address
Postal Code

3. YOUR LOCATION PREFERENCE FOR A VIDEO TOWN OUTLET
Province / Suburb
Existing Store / New Site
Available Capital

4. REFUNDABLE FRANCHISEE FEE (NB: 10% or more of this fee could be deducted for administration fees at the discretion of the Franchisor)
New Franchise Store R28,500.00 (INCLUSIVE OF VAT)
Conversion or Existing Franchise Store R11,400.00 (INCLUSIVE OF VAT)


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