If you were going ahead with Bugsie’s,  what area/region would you be interested in working?
When would you like to start?
Have you ever worked with dogs before? yes no
Have you ever managed your own business before? yes no
Are there any Mobile Dog Wash vans in your region? yes no don't know
Do you contemplate having a partner? yes no
What is your current occupation?
Are you a homeowner? yes no
Do you have a clean driving license? yes no
Are you in good health? yes no
Any disabilities? yes no
If yes, please state:
How would you finance a Bugsie license?
Explain what attracted you to our advertisement and why you would be a good candidate as a Licensee for Bugsie
Indicate the best time to come to Blackpool for an interview
Please complete all details below for us to contact you.
Your First Name:
Your Surname:
Address:
E-mail:
Phone Number:	(indicate convenient time to call, include area code)
Fax Number:
How did you hear about Bugsie's?	Search Engine Yellow Pages Paper Ad Seen Vans Recommended by friend Other