Become a Franchisee

Please send application enquiries to:
Attention: Mr G.V. Mariano

Mastrantonio Holdings (Pty) Ltd
PO Box 2221, Saxonwold, 2132
Tel: +27 11 781 0808
Fax: +27 11 781 4555
Co.Reg No. 1996/009304/07

This form is intended to serve as an initial application and does not obligate either party in any manner.



Personal details

Full Name:
Date of Birth: (dd/mm/yy)
Home Phone:
Business Phone:
Cellular Phone:
Fax Number:
Email Address:
ID/Passport No:
Length of time as RSA resident:
Country of Citizenship:
Country of permanent residence:
Marital Status:
Region/Area of interest: 
Highest level of education completed:
Degree(s) earned:
Name of college and/or Graduate School:



Total unencumbered cash or cash equivalent (stocks, bonds, etc.) available for investment in an M&A business:


Fair Market value of business (es) owned:

Equity in real estate owned:
Current annual income:
Name of insurance

Business Experience
It is important that you attach a personal resume (CV – Curriculum Vitae) including the following:



(a) Work experience
(b) Briefly describe the nature of business(es) owned and your involvement


(c) Where did you hear about the M&A group?
(d) What are your financial expectation in joining the M&A group?

Company details (if applicable)


Registered Name:

Registration Number:
Registered Address:

Name under which company Conducts business i.e. trade name:

Physical address from which company Operates (business address)
And if operates from multiple addresses Also physical address of Head office:

Contact person:

Contact details:  
Phone (W)

Company income tax number:


Company income VAT registration Number:




I hereby confirm that the information provided is true and correct.




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