Color Your Carpet®

Confidential International Questionnaire

We appreciate your interest in the Color Your Carpet® franchise opportunity. We would be most grateful if you could clarify the nature and scope of your International request for information.

We request that you please review and complete this questionnaire at your earliest convenience. We require this completed form prior to sending our International Franchise contract and other sensitive information.

As soon as we receive the completed form we will forward the appropriate related data to you. Your company profile and/or curriculum vitae may be substituted for the appropriate queries.

Please mark the answer(s) that best identify your interest and situation:

1. My (our) interest in the Color Your Carpet® franchise opportunity is:

__ a.    as an owner/operator - aggressive (I will manage the franchise business personally)

__ b.    as an owner/investor - passive (I will employ qualified personnel to manage the day-to-day business)

__ c.    full time (Color Your Carpet® would be my primary business)

__ d.    part time (I have other business interests that require the majority of my time)

__ e.    to commence operations in the near future - within three months of today

__ f.    to commence operations in the distant future - not before six months from now

__ g.    in a single franchise unit (Franchise Fee $19,000 USD)-(plus 1st unit start-up costs of $30,000 USD for a total of $49,000 USD) Territory size will be determined by Master Franchisee of that country.
***Important: The First franchise granted in a foreign country if qualified can obtain Master Franchise License- the exclusive rights for the country which requires a total initial investment minimum of about $195,000 USD.

__ h.   in multiple unit franchise (Single Unit Franchise Fees & start-up cost multiplied by the number of units granted)

__ i.    in a Regional franchise area ($95,000 USD to $150,000 USD -grants a development area of 5 to 10 million population)

__ j.    in a Master franchise area (minimum $195,000. USD - grants a development area of 20 to 50 million population)

__ k.   in brokerage and/or agent sales of franchises (please attach a copy of your proposed contractual arrangement)

__ l.    in obtaining the services or products of Color Your Carpet® for my properties.

__ m. in supplying services or products to Color Your Carpet® (please attach the proposed list)

__ n.   in providing my products or services to local franchisees (please attach the proposed list)

__ o. in providing manufacturing services (for or with the Franchisor) to local franchisees in my country

* Note: All money is expressed and transacted in U. S. Dollars

2. I am (we are) currently:

__ a.    a business investor or a business owner

__ b.    investigating other franchises (please attach a list of franchises you are considering)

__ c.    in a management position: Type of business _____________________

__ d.    educated formally (2 or more years of college studies)

__ e.    an owner of another franchise (please list the name of the franchise ________________________________ )

__ f.    experienced in sales/marketing (please describe the product or service ______________________________ )

__ g.    actively involved in managing a business that I own or in which I have a vested interest

__ h.    actively involved in managing (or promoting) a business for others

__ i.    interested in a franchise to be located in the USA _____________, or in the country of ____________________.

__ j.    quite familiar with franchising (& aware that franchise contracts are generally uniform to all and not negotiable)

__ k.   or previously was, associated/engaged in property management, interior design, procurement or real estate.

__ l.     educated in speaking the following languages: ___________________________ ___________________________

__ m.   am fluent in English or employing an English translator or willing to obtain such services for this investment

__ n.    planning a trip to the USA, tentative dates and location of stay ___________________     ______________________

__ o.    acting on behalf of an international government program to promote franchising in the country of :__________________________.

__ p.    now or have been associated/engaged in a carpet related business. (manufacturing, retailing, cleaning, etc.) Please describe:   _____________________________.

** I agree that all Color Your Carpet® information provided to me is confidential and may not be used or copied in any manner now or in the future by me or/and any third parties unless permission in writing is received from Connie B. D'Imperio, the Franchisor. I will return all Color Your Carpet® materials within 30 days of today (___________/2008) to Color Your Carpet, Inc., at my expense, should I not be granted a franchise.

Signature:_______________________        Date: __________      Print Name: ___________________________________
Company Name: _______________________
Address: _______________________
City, State/Province/County, Country: _______________________
Email: _______________________                        Website: _______________________
Telephone: _______________________          Fax: _______________________

Please complete & return the above Confidential International Questionnaire to us if you have further interest in the Color Your Carpet® business.
Via Email: Quick Response Form
Or you may contact us at anytime via telephone at: 904-880-9080

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