Franchise Application Form

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Franchise Application Form
SOLECTRIC AGENT APPLICATION

Become a Franchise and a Distributor

Become a SOLECTRIC Franchise & a Distributor

* Indicates required field

Choose You Franchise Option *

Name of Company Representative *

First

Last

Other Names *

Identification Numbebr *

PROPOSED FRANCHISE NAME *

Email *

Proposed Starting Month *

Phone Number *

Number of Employees *

Company Physical Address and Building Owner

Physical Address *

Community *

City / Province *

Building Owner *

Type of Property *

Number of Occupants *

Tell how many people are living in the building

Franchise Company Directors

Name of Director One *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How many Shares do you own *

Name of Director Two *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How many Shares do you own *

Name of Director Three *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How many Shares do you own *

SOLECTRIC Start-Up IESS Units?

ALL COMMUNITY BASED DISTRIBUTORS MUST OWN 3 UNITS. DO YOU HAVE ANY? *

WHICH 3 UNITS DO YOU HAVE? *

Source Of Electricity *

Are you on the grid? Are you on prepaid or post paid electricity? Do you have a Diesel or Petrol Power Generator?

How much are you spending on Electricity monthly? *

I don't have access to Electricity - why? *

Tell us about your house

Preferred Payment Plan for your Customers

How big is your House? *

Option 1 One to Two Bedrooms Option 2 Three to Four Bedrooms Option 3 Five to Six Bedrooms Option 4 Seven Bedrooms and Above

What Payment Plan will you give to Customers *

3 Months Payment plan 6 Months Payment Plan 12 Months Payment Plan

Choose One *

18 Months Payment Plan 24 Months Payment Plan All of the above Payment Plan

Other information you may want to share *

Submit

SIMPLE CHARGING SYSTEM

Solectric All-in-One Mobile Power Station can be charged with the following:

Solar or Wind
Grid Electricity
Diesel Generator

Solectric mobile power station electrical interface provides a simple connection to any home or office.

SOLECTRIC ENERGY C2024

Home
Product Overview
About Us
Product & Specifications
Services and Solution
Placing Orders
Contact
FRANCHISE
Buy Together
Franchise Application Form
SOLECTRIC AGENT APPLICATION