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Expression of Interest

First Name

Last Name

Phone

Your Email

Address

What type of opportunity are you applying for?

Existing Shop Name (if applicable)

Existing Shop Address (if applicable)

What are the primary product(s) that your business sells? (if applicable)

What is it about this Gold Systems opportunity that interests you the most?

What is your technology expertise?

What are your top 3 questions you would like answered?

On a scale of 1 - 20 how suited to this opportunity are you?