FRANCHISE ENQUIRY FORM

Please complete and return this form to info@yakun-indonesia.com. All information will be kept strictly
confidential.

Name:______________________________________ Company:__________________________________

Address:___________________________________________________________________________________

Postal Code:_______________________ E-mail:____________________________________

Telephone:____________________(Office) ___________________(Home) _____________ (Mobille/HP)

Fax:__________________________ Age:_______________ Marital Status: Single / Married

1. Which City are you interested in running a Ya Kun Franchise :

Please indicate city:___________________________________

Will you be working with a local partner in the city of interest? YES / NO

2. Are you interest in a Area Franchise / Single-unit Franchise

3. Current Occupation & Brief Career Record:

____________________________________________________

_____________________________________________________________

4. Who will be involved in operating the business: (If it’s someone else, please state his/her experience.)

_____________________________________________________________

5. Do you have past working experience in related trade? YES / NO

If yes, please state: _____________________________________________

6. Do you currently own or lease premises that may be suitable for a Ya Kun franchise outlet? YES / NO

If yes, please state location: ________________________________________

7. How familiar are you with franchising: VERY / FAIRLY / LITTLE / NOT

8. Please state your funds available for this business venture ( please circle):

< US$75,000 US$75,000 – US$150,000 US$150,000 – US$250,000

9. How did you become aware of the Ya Kun franchise?

________________________________________________________________________________________

I confirm my genuine interest in Ya Kun Franchise Opportunity and the facts furnished above true.

_______________________________________ ________________________________
Signature Date

YA KUN KAYA TOASTINDO

Kelapa Gading Mahaka Square, 1st floor No. B–2
Jalan Raya Kelapa Nias Block HF – 3, Kelapa Gading, Jakarta Utara, Indonesia
Tel: (62-21) 45860442, Fax: (62-21) 45860443