Franchise Application

First Name
Last Name
Email
Street Address
City
State/Region
Postal Code
Phone Number
Mobile Phone Number
Date of Birth
Additional Owners/Partners
YESNO
If Yes, please list the additional owner/partner's name(s)
ARE YOU A DEFENDANT IN ANY LAWSUITS OR LEGAL ACTION?
YESNO
HAVE YOU EVER FILED FOR BANKRUPTCY OR ARE YOU IN THE PROCESS OF FILING FOR BANKRUPTCY?
YESNO
HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR (OTHER THAN TRAFFIC VIOLATIONS)?
YesNo
TOTAL LIQUID ASSETS AVAILABLE (E.G. CASH, STOCKS, BONDS, MUTUAL FUNDS, ETC...)
TOTAL TANGIBLE ASSETS (E.G. HOUSE, CAR, BUSINESS, ETC...)
TOTAL LIABILITIES
TOTAL NET WORTH
CREDIT SCORE
DESIRED TIMELINE TO OPEN
I UNDERSTAND IF FINANCING IS REQUIRED TO PURCHASE MY FRANCHISE IT IS MY SOLE RESPONSIBILITY TO OBTAIN IT.
YesNo
ARE YOU CURRENTLY WORKING WITH A FUNDING COMPANY?
YesNo
ARE YOU OR ANYONE IN YOUR IMMEDIATE FAMILY CURRENTLY UNDER ANY FORM OF NON-COMPETITION AGREEMENT THAT LIMITS YOUR RIGHT TO OPERATE ANY BUSINESS? (IF YES, LIST BUSINESS NAME AND FAMILY MEMBER’S RELATIONSHIP TO YOU)
YesNo
ARE YOU INTERESTED IN OWNING MULTIPLE TERRITORIES IF THEY ARE AVAILABLE?
YesNo
WHAT OWNERSHIP ROLE ARE YOU SEEKING?
OWNER/OPERATOR (FULL TIME)SEMI-ABSENTEE (EXECUTIVE MODEL)
HOW DID YOU LEARN ABOUT OUR FRANCHISE OPPORTUNITY?