Name *

First Name

Last Name

Phone

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Address *

Address 1

Address 2

City

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Are you interested in operating multiple Kenangan Coffee stores in your city?

Yes

No

I have read, understand and agree to Kenangan Coffee Franchise's Privacy Notice. I certify that all information provided in this form is accurate and comprehensive to the best of my knowledge. I commit to promptly informing Kenangan Coffee in writing of any changes to the information provided here, and failure to disclose or providing inaccurate information on this form may result in disqualification from the Kenangan Coffee Franchise program.

I further grant permission to Kenangan Coffee to collect and use this data for the assessment of my application and to carry out relevant checks in verifying my suitability for the Kenangan Coffee Franchise program. I acknowledge that Kenangan Coffee has the right, in its sole discretion, to determine whether my application will be selected. This submission is subject to all applicable local laws and regulations and is void where prohibited. *

I Agree