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APPLICATION FOR FRANCHISE OF HOBO WEBCAM |
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| NOTE THIS FORM IS UNDER CONSTRUCTION IT DOES NOT WORK! IT IS A WORK IN PROGRESS TO
CONTACT HOBO UNTIL FORM IS COMPLETED
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| All fields are REQUIRED | |||||
| First name | |||||
| Family Name | |||||
| Business Name or LOCATION Name? | |||||
| Street Address | |||||
| Address 2? | |||||
| City | |||||
| State, Province, Canton, District? | |||||
| Postal Code or Zip Code? | |||||
| Local Telephone Number? | |||||
| Area Telephone Code? | |||||
| City Telephone Code? | |||||
| Country Code? | |||||
| Number you would call if you called FROM the USA? | |||||
| Country This needs to be pull down so people cannot spell wrong and we can sort. |
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| Repeat E-mail | |||||
| Alternative E-Mail | |||||
| Repeat Alternative E-mail | |||||
| INFORMATION ABOUT YOUR WEBMASTER
OR INTERNET TECHNICIAN - LEAVE BLANK IF YOU DO NOT HAVE OR USE ONE. |
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| First name | |||||
| Family Name | |||||
| Business Name or LOCATION Name? | |||||
| Street Address | |||||
| Address 2? | |||||
| City | |||||
| State, Province, Canton, District? | |||||
| Postal Code or Zip Code? | |||||
| Local Telephone Number? | |||||
| Area Telephone Code? | |||||
| City Telephone Code? | |||||
| Country Code? | |||||
| Number you would call if you called FROM the USA? | |||||
| Country This needs to be pull down so people cannot spell wrong and we can sort. |
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| Repeat E-mail | |||||
| Alternative E-Mail | |||||
| Repeat Alternative E-mail | |||||
| QUESTIONS ABOUT YOUR INTERNET AND CAMERA LOCATION? | |||||
| Do you have broadband? | |||||
| Do you have DSL | |||||
| Do you have a dial up connection? | |||||
| Is your connection 24 hours per day? | |||||
| Does the location have light or is it lighted 24 hours per day? | |||||
| Is there activity 24 hours per day? | |||||
| What is the monthly cost of your internet connection? | |||||
| Does the cost vary according to the use of internet? | |||||
| URL or Address of your website? | |||||
| ATTACH THE FOLLOWING DIGITAL GRAPHICS | |||||
| PHOTO OF WHAT WILL BE ON THE WEBCAM ALL THE TIME? | Click Submit to Attach: | ||||
| MAP TO YOUR LOCATION | Click Submit to Attach: | ||||
| PHOTO OF WHERE YOU WOULD MOUNT CAMERA? | Click Submit to Attach: | ||||
| PHOTO OF YOU? | Click Submit to Attach: | ||||
| ATTACH HORIZONTAL (Top Banner) |
Click Submit to Attach: | ||||
| ATTACH HORIZONTAL (Bottom Banner) |
Click Submit to Attach: | ||||
| ATTACH VERTICAL BANNER (Right Side) | Click Submit to Attach: | ||||
| ATTACH VERTICAL BANNER (Left Side) | Click Submit to Attach: | ||||
| ANY MISCELLANEOUS PHOTO YOU WISH | Click Submit to Attach: | ||||
| WHY? | |||||
| Explain why this location is a good location for webcam? | |||||
| URL or Address of booking service for this LOCATION, hostel, or rooms. | |||||
| Comments | |||||
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