Let's see where this takes us...

Please fill out the following user information form completely. This will allow us to better evaluate and help you on your road to owning your own Kataluma Chai shop. This information will be stored in a database for later use by Kataluma Chai Co. for business purposes only. It will NOT be sold or distributed in any way.

Name:
Address:
City:
State:
Zip Code:
Phone:
Mobile:
Email:
Have you ever owned or managed a business? Yes No
Describe the potential location where you would like to put your Kataluma Chai Shop:
What strengths do you posess that will enable you to be successful in your own business?

Are you committed to customer service and quality?	Yes No
Are you able to manage a budget effectively?	Yes No
Are you effective at evaluating and solving problems?	Yes No
Are you physically able to be on your feet for long periods of time?	Yes No
Are you physically able to lift up to 50lbs from time to time?	Yes No
Are you able to recruit, train and oversee 5-20 employees?	Yes No
Are you a team player, committed to the Kataluma Chai vision?	Yes No
When would you like to open your new shop?	As soon as possible
	Within six months
	In a year or more
Tell us how you heard about Kataluma Chai:
If money were no object what would you want to do with your life?