Franchise Application Step 1 In Your bioworX Franchise Journey Name* First Last Email* PhoneIs there a particular location (city, state) that you're interested in? What is your approximate timeframe for making an investment?ASAP1-3 months4-6 months7 months to a yeara year or moreHave you ever owned a business or franchise? Yes No If yes, please describe. What are the three most important factors for you in a business investment?Factor 1 Factor 2 Factor 3 Why are you exploring a business opportunity at this time in your life?Please describe your professional interests and experience in the past.What is the range of your net worth? 0-250,000 250,000-500,000 500,000-1,000,000 1,000,000-2,500,000 More than 2,500,000 Please Select 2 dates over the next 14 days in which you'd be available for a phone screening.First Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Second Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NameThis field is for validation purposes and should be left unchanged. Δ
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