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Personal Information
First Name
*
Last Name
*
Email
*
Phone
*
City of Interest
*
State
*
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Washington
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennslyvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Why are you interested in owning a Fuzzy’s Taco Shop?
Net Worth - Minimum $1M*
Please Choose One
Less than $500,000
$500,000 - $999,999
$1,000,000 to $2,000,000
More than $2,000,000
Liquidity - Minimum $300K*
Please Choose One
Less than $300,000
$300,000 to $499,999
$500,000 to $999,999
More than $1,000,000
* Required
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