Franchisee Information

This is not a contract and does not obligate either party in any manner. All information is held in complete confidence.

I. PERSONAL DATA

Name*

First Middle Last

Spouse/Partner Name*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Marital Status*

Single
Married
Divorced

Do you rent or own your home?*

Rent
Own

Your housing monthly payment?*

How long have you lived at this address? (years and months)*

Date of Birth*

MM

DD

YYYY

II. BUSINESS BACKGROUND

Current Position*

Please list your present Employer, Title, Length of Employment, Annual Salary, and describe your duties.

Will you be leaving your current position?*

Yes
No

Have you ever managed employees?*

If yes, how many and in what capacity?

Spouses Current Position*

Please list their present Employer, Title, Length of Employment, Annual Salary, and describe your duties.

III. PREVIOUS EMPLOYMENT

Previous Position*

Please list your previous Employer, Title, Length of Employment, Annual Salary, and describe your duties.

IV. ABOUT YOU

What do you consider are your strengths and weaknesses as a business person?*

What are your primary concerns about owning your own business?*

How did you become interested in Stretch Zone?*

Are you seeking an individual franchise or multiple units?*

Individual location
Multiple Units

Will you have a business partner?*

Yes
No

Timing?*

Ideally, when would you want to open your franchise?

ASAP
Within 3 months
Within 6 months
Within 12 months
Other

Locations*

In which geographical area would you like to open your franchise?

Area Development*

Are you interested in obtaining an Area Development Agreeement?

Yes
No

Financial Information - Assets

Cash on Hand & In Bank:*

Stocks, Bonds, Securities:*

Retirement Funds:*

Loans Owed to You: (Due within 1 Year)*

Real Estate: (Present Value)*

Businesses Owned:*

Any Other Assets:*

Financial Information - Liabilities

Notes Payables to Banks:*

Notes Payable to Individuals:*

Total Credit Card Debt:*

Vehicle Loans:*

Home Mortgage:*

Other Mortgages:*

Student Loans:*

Any Other Debts:*

Financial Information - Net Worth

Total Assets:*

Total Liabilities:*

Subtract for Net Worth:*

Amount of Capital to Invest:*

Source of Capital:*

Legal Information

Have you ever been convicted of a felony?*

No
Yes

Have you or your spouse ever filed for bankruptcy?*

No
Yes

Are you or your spouse involved in any pending civil lawsuits?*

No
Yes

Are you or your spouse subject to any civil judgments?*

No
Yes

If you answered Yes to any legal question above, please explain below.

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