Home Of Miracle Coat International, Inc. ICF Wall Coating & Decorative Concrete Specialist

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MCII is the leader in the following specialty products:

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Dealer Franchises
Now Available
For Only $5,000 !

Dealer Application

MCII does NOT share your information with third parties. We respect your privacy. Please feel free to contact us. We respond to each and every e-mail.
I understand that the information I receive from MCII office or from any MCII Products representative, employee or Licensee is highly confidential. Such information has been developed with a great deal of effort and expense to MCII and is divulged to me as a result of this application, and will be held in the strictest confidence by me. For a period of two years from this date, I will not divulge or use any techniques, methods, advertising materials, training materials, training manual, forms, or any other information of any kind use by MCII or any of its Licenses without your express written consent. I authorize investigation, including the preparation of credit reports, of all statements and financial information disclosed herein, I hereby release all parties from liability for any damage that may result from furnishing any information to you.

Date
Contact Person
Contact Phone
Contact E-Mail
Address
City
State
Zip
How long at the above address
Rent or Own		Rent Own
Amount of Payment
Education
Marital Status
Employer's Name and Address
How Long Employed
Present Position
Monthly Salary
Are You Interested In		Running the Business Yourself
		Owning the Business and We will Train Your Key Personnel
		Being a Representative for MCII
Make and Model of Auto
Year of Auto
Financed
Name of Your Bank
Account Types		Checking Savings
Have You Ever Been In Business
When Will You Start
Will You Have a Partner
What are Your Primary Goals
How Much Capital Do You Have To Invest:
Are You Interested in Financing		Yes No

I certify that the information is correct to the best of my knowledge		Type Your Name



You may also e-mail us directly at mcintinc@yahoo.com or for immediate service, call (888) 284-COAT (2628).

To receive more information please fill out our contact form.
Phone: 352-597-1024		FAX: 352-597-1025

*For Specialty Product Purchases Contact Jim Meyer*
Phone: 1-888-284-2628		Email: mcintinc@yahoo.com

MCII, Inc., owns all copyrights to this web site and its contents. MCII Products are protected trademarks of MCII, Inc.
Inquiries about copyrights and trademarks should be directed to:
MCII, Inc., 8500 Delaware Dr., Weeki Wachee, Florida 34607 United States 352-597-1024
Website Updates and Website Copyright 2003 - 2009