State:

Zip Code:

Contact Name # 1:

Phone #:

Cell#:

Email:

Contact Name # 2:

Phone #:

Cell#:

Email:

How did you hear about us?

What Publication?

How long in business?:

How many salons?:

How many beds currently?:

What type of beds?:

Have you ever thought about becoming part of a national franchise?          Yes No

Would you like information on becoming a Tanses Tannery Franchisee?  Yes No

How many NEW beds do you need?:

Do you need more of the smaller entry level beds? (24-28 lamp beds)

How soon will you be ready if you decide to do it?

When is the best time to contact you?

Questions and comments: