PRINT, COMPLETE AND FAX BUYER PROFILE AND CONFIDENTIAL UNDERTAKING TO 086-214-2935 eLiquor™ Franchise Main –web: www.eliquorfranchise.co.za – email: [email protected] CONSULTANT NAME:

(For Official Use Only)

BUYERS NAME:

CELL PHONE:

I.D. NUMBER:

HOME PHONE:

BUYER I.D. CODE:

EMAIL ADDRESS: WHERE DID YOU FIND US:

CITIZENSHIP:

RSA □

OTHER □

WHAT MONTHLY INCOME/PROFIT/RETURN REQUIRED

R

(IF APPLICABLE, INCLUDE LOAN REPAYMENT)

WHAT PURCHASE PRICE ARE YOU PREPARED TO PAY

R

HOW MUCH LIQUID CASH DO YOU HAVE AVAILABLE

R

RESIDENTIAL ADDRESS: DO YOU REQUIRE A SPECIFIC TYPE OF BUSINESS IN WHICH AREA WOULD YOU PREFER TO BE LOCATED HAVE YOU OWNED YOUR OWN BUSINESS BEFORE IF YES, WHAT TYPE / INDUSTRY SECTOR BY WHEN WOULD YOU LIKE TO BE IN YOUR OWN BUSINESS WHAT EXPERIENCE/EXPERTISE AND/OR STRENGTHS DO YOU HAVE

WHAT OTHER COLLATERAL DO YOU HAVE AVAILABLE

PROPERTY:

R

INDICATE WITH AN ‘X’ WHAT TYPE OF BUSINESS YOU WOULD LIKE TO PURCHASE □ □ □

eLiquor™ □ eStore™ □ eMeat&More™ □ eTakeAway™ eCarWash™ □ eMeat&More™ □ eSpazaShop™ □ Other Any other choices you might have: _________________________________________________________________

In consideration of eLiquor™ entering into discussions relating to the possible acquisition of an interest in a business on my behalf, I hereby agree as follows: 1.

Not to disclose any information, including that the business is for sale and to treat as totally confidential the identity of each business quoted to me and any details as to its operation or financial accounts.

2. 3. 4.

Taking all reasonable precautions to protect the confidentiality of information made available to me in the course of any negotiation and eventual transaction.

5.

Not to make an approach to any Seller of any business quoted to me by eLiquor™ or its staff, customers or suppliers without prior arrangement with the Seller or his/her Agent and to refer all queries through the relevant eLiquor™ Representative/Agent.

6. 7. 8.

I accept that all information was presented to me/us in good faith and that I cannot hold eLiquor™ or its Agents liable for any inadvertent deviations or inaccuracies.

That all information is received for no other purpose than the evaluation of the investment potential of the business. Not to disclose the identity or any details of the operation or financial accounts to any third party (except my accountant or legal advisor who shall agree to respect this requirement for confidentiality) unless expressly authorised in writing by the Seller or his/her Agent.

I accept that I am responsible to verify facts and figures to satisfy myself, as to the accuracy of information during any due diligence I/we may choose to carry out. For the purpose of this agreement the “Confidential Information” means any idea, concept, data, document, drawing, schematic, business, technical, financial, operational, administrative, marketing, economic and other information and material of a proprietary nature, about or concerning or relating to the business whether in oral form or in eye, machine or electronic readable form and includes information and material contained in any memorandum, report and/or other document prepared for either party hereto by an third party.

9.

In the event that a suitable business opportunity is found in using the services of eLiquor™, and in the subsequent event that I should wish to present an offer to purchase such business, then prior to the commencement of the “Offer to Purchase” process, and should I be called to do so, I agree to willingly submit to a consumer credit report.

10. 11. 12.

If I decide not to proceed with the investment, I agree to immediately return to eLiquor™ all written information supplied by it and retain no copies. I agree that, in the event of a breach of trust in the above, the Seller can take whatever action they deem necessary to recover any cost of damage caused by such breach. By my signature hereto, I request that eLiquor™ add me to their database to facilitate my receipt of notice of any new business opportunity listings related to those categories I’ve indicated an interest in above.

BUYERS SIGNATURE: ________________________________________

DATE: ______________________________