FILL OUT INFORMATION BELOW Posted on August 12, 2012 by admin Reply Name: Email Address: City State Phone # Have you found a location for your business ? YES NO Is your location within the City limits ? YES NO Sq Ft of the location ? 800-1200sq ft 1200-1600sq ft 1600-2200sq ft 2200-3000sq ft 3000sq ft+ Number of parking spots available for your customers ? Please check the following that apply. Fees per business Fees per terminals Special use permits Moratorium in place How many other sweepstakes cafes are currently within a 10 mile radius of your desired location ? 1 2 3 4 5 6+ Have you ever run this type of business before ? YES NO Do you wish to fill out a credit application for purchasing Equipment ? YES NO Question # 1 Question # 2 Question # 3