Application Form

With over 13 years of retail presence in the lifestyle industry and furniture manufacturing knowledge preceding that time; EM is now ready to transfer knowledge and welcome responsible, motivated and dynamic partners into the Group.

You can join a rapidly expanding business by becoming a dealer or a franchise. The application form enclosed below is your step 1 of a 3 stage process.

 

Field Marked with * are Required
1
Applicant Information
Name: *
Company:
Address: *
Postcode: *
Town: *
State/Province:
Country: *
Telephone: *
Mobile Phone:
Email: *
Citizenship: *
2
Business Information
Dealership Franchise  
Country / state of interest: *
Reason for this interest: *
Self Employed: * Yes No
3
Other Information
How did you find out about The EM Group?
Please be specific about media name etc: *
Any other information you may find relevant to add: