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Full Name of Business Owner (4 names)
*
Owner ID#
*
Marital Status
*
Single
Married
Number of Children
Number of Children who have received College Education
Home Address
City
Business Address if different than Home Address
Home Telephone
Mobile Phone
Email Address
Population of business area
10,000-20,000,
200,001-35,000
35,0001-50,000
50,001-100,000+
Do you currently have a business?
yes
no
Rented or Owned
I rent the space
I own the space
What is the size of the property?
Up to 100 m2
100m2 – 150m2
150m2 – 200m2
200m2 – 250m2
250m2 – 300m2
More than 300m2
Do you have any partners? If yes, please mention them here
Are there other electronics retail shops in your area?
yes
no
If yes, How many?
Please list all electronics shops in your area
Send