Franchise Prospectus Application Form Subscribe Welcome and thank you for your interest in a 4U PURE WATER franchise. Please complete the details below and we will be in contact.You will need an SA Id, and capital to invest.Franchise Interest & LocationPlease let us know where you would like to establish your franchise.The Province are you interested in opening a Franchise?- Select Province -Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern CapeIn which City are you interested in opening a Franchise?Do you already own or manage a building of at least 80- 90m² that could be used as a flexible workspace? Yes, I own/manage a suitable building No, I will need to lease/purchase a spaceChoose your 4 U Pure Water Franchise that are you interested in?- Select Franchise Model -Express Retail KioskStandard Retail ShopSuper Store & Distribution HubContainerized Water PlantPlease provide us with a brief description of your background and if you have been in business yourself?Personal & Contact DetailsPlease provide your personal information for verification and contact purposes.First NameLast NameSA Id DocumentClick to upload SA IDUpload SA ID Copy PhoneEmailResidential AddressStreet AddressCityCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweAddress Line 2StateZip CodeI AGREE TO THE CONFIDENTIALITY AND NON-DISCLOSURE AGREEMENT I do.4 U Pure Water Franchising ACKNOWLEDGEMENT OF RECEIPT OF THIS DISCLOSURE DOCUMENT & CONFIDENTIALITY UNDERTAKING I am interested in exploring the possibility of acquiring a 4 U Pure Water franchise and, as such, request 4 U Pure Water Franchising to provide me with confidential information. I undertake, in favor of 4 U Pure Water (Pty) Ltd, that: I will use the confidential information only for the purpose for which it was divulged; and I undertake not to disclose the confidential information to persons other than those who require it, and that those persons have been placed under an obligation to keep said information confidential. I will further take reasonable steps to ensure that the confidentiality of the information is kept. My undertaking does not apply to information, which is already public knowledge, or becomes publicly known, other than as a direct consequence of a breach of this undertaking. I acknowledge receipt of the Disclosure Document and undertake to adhere to the provisions of the confidentiality undertaking.Submit Form
