Business owner – My Essentials Economy

1. Business name and address

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2. Is the business under a corporation or privately owned? (Corporation / Private / Other)

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3. How old is your business?

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4. Can you provide profit and loss statements for the past three years? Yes / No

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5. Are you familiar with the Triple-Stream Rule? Yes / No / Need more information

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6. Do you or anyone else have any objection to selling to United Consumers? Yes / No / Not sure

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Your name

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Your phone (optional)

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