Name

Email Address

Country Code +

(360) 123-4567

City / State of Interest

City / State you're currently a resident of

Available Capitol to Invest Available Capitol to Invest5,000 – 10,00010,000 – 15,00015,000 – 20,00020,000 – 30,00030,000 – 40,00040,000 – 60,00060,000 – 80,00080,000 – 100,000100,000 +

Timeframe for making a Decision Timeframe for making a Decision1 – 2 Weeks4 – 8 Weeks2 to 4 Months4 to 8 Months4 Year or More

Do you hold a license? Do you hold an active business license or certificate to operate a dispensary in your state of interest? Do you hold a license? Do you hold an active business license or certificate to operate a dispensary in your state of interest? Yes No Other

If you selected “other” on the question above, please tell us more

How did you hear about us? (you can select more than one) How did you hear about us? (you can select more than one) Business Partner Employee Word of Mouth Print Advertising Web Advertising Social Media Google Search Our Website Online Store Other

Tell us more about yourself

Linkedin Profile: Linkedin is not required but highly recommended. Why? This helps us better understand you and your needs as a potential investor.

Consent Required to Apply Consent Required to Apply I consent to share my information with SPARKET Franchising LLC for the purpose of evaluating an investment as a Sparket franchisee.