* * * NOT A CONTRACT * * * NOT AN ORDER * * * NOT A COMMITMENT * * *
But the basis for a contract you may wish to make.
Questionnaire
The Worm Man® (Trade mark Reg.) Copyright© Wayne Fauser 2000 commercially Confidential.
To find out more or to pursue this opportunity please complete each question on this form and fax to The Worm Man® on fax +61 2 8569 0389.

All WormCasting Consultancy operations we show you exactly how to manage the worm farm.
We tailor systems to suit your situation. We supply the worm stock and the know how to initially set up.
Give ongoing consultancy advice throughout the agreement.

Very Important (Complete each Question) Blanks = Delays

Full Name: please print.................................................................................................................................

Home Address:............................................................................................................................................

State:..............................Post Code.........................Telephone No:(.......).......................................................

Fax No:( ......).............................................E-Mail:..........................................................................................

Potential worm farm address (if different to the above):..........................................................................................

.........................................................................................................................................................................

Will the Worm Man® be dealing with you alone?    Yes (  ) No (  )

If No then list all other parties...............................................................................................................................

......................................................................................................................................................................

What is the maximum area that you can set aside for the worm beds......................Acres

What sort of water will be used?     Mains (   ) Bore (   ) Dam (   ) Creek (   )

Are you in business as a worm farmer now?    Yes (   ) No (   )

Are you currently selling worm products at all?     Yes (   ) No (   )

Do you already have a worm shop or outlet?      Yes (   ) No (   )

Are you a worm farming consultant?      Yes (   ) No (   )

Have you a contract with another worm farmer?      Yes (   ) No (   )

Do you wish to sell worm products to worm
farmers, nurseries, retailers or wholesalers?     Yes (   ) No (   )

Do you have a business associate
who would answer "yes" to these questions?      Yes (   ) No (   )

How many (approx.) tonnes of organic material can you source every 2 weeks-
From your property...................From other properties....................

Near your potential worm farm are there any dairies, piggeries, intensive chook sheds, sheep stations, food processing plants,
green grocers, restaurants or any other form of organic waste in your immediate region?    Yes (   ) No (   )

Can you get any hay or straws in your region?    Yes (   ) No (   )

What sort of organic material can you source.......................................................................................
(if you don't know how much you can source we can discuss and assist you with that later)