Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you been to a Snerk's location before? *

Yes

Not yet

Would you still be interested in opening up a location if it were not in your preferred city/state? *

Yes

No

Maybe

What would your involvement be within your Snerk's location? *

I'd be the day-to-day operator

I'd be a hands off investor

Other

Will you be partnering with others? *

Yes

No

Unsure

We conduct criminal background checks on every applicant. Have you ever been convicted of a crime? *

No

Yes