This page is solely for applicants who would like to apply for inclusion of the ‘FRED67 Business Referral Club’.
Before you complete the pane on the contact form please read through these questions or copy&paste them into a text file and answer them ‘on-page’.
You can then delete irrelevant questions and copy&paste your relevant answers into the Contact Form on the previous page.
Please answer the questions below as fully as possible.
I am a business owner and my details are as follows.
* The name and address of the business(Including website address & E-mail if applicable).
* Name of business owner.
* Year The Business Started.
* Geographical area you would be happy to cover.
* Any history, or points of public/local interest.
* Reason business was conceived
(Research or accidental discovery of niche market).
* Do you or your employees need and have specific qualifications.
If so please quote them here.
* Is business a physical, walk in shop.
* Does it supply on pre-orders only.
* Is it a purely ‘inter-net driven’ business.
* Does it supply service on demand.
* Which industry/niche`. ie; Construction, retail, media, hotel, restaurant etc.
* How many employees.
* What is the product or service.
* What unique benefits are brought to the customer/client.
* What problem does it solve for the customer/client.
* Is the product/service guaranteed.
* Do you have a FREE ‘on-line’ or ‘off-line’ company newsletter? If so please include sign-up details.
* Is there a ‘waiting list’ that potential customers should, or will join.
* The www. URL of your website or blog if you want it included on your Web-page:
* Please include all other information you feel is relevant below:
* Please include the Name of the person who recommended you, (if applicable)
* Please include Contact details of 2 or more other ‘Trusted’ businesses you could honestly vouch for. Including Name, E-mail address and Tel No.
* Please include any further information about your business here – Remembering that you can submit additional information, graphics etc at a later date.
I understand that the information I am submitting here will be used to set up a web-page for me under the FRED67 Business Community terms and conditions which I have read and understood.
Thank You ….. Peter Moring.