Cap't Loui Franchise Inquiry Form
Note: This application does not obligate either party in any manner.
YOUR INFORMATION
Name
*
First Name
Last Name
Email
*
Phone
*
Date of Birth
*
/
Month
/
Day
Year
Are you a US Citizen, Permanent Resident, or otherwise have the legal right to remain in the US and operate a franchise?
*
Please Select
Yes
No
LOCATION
Your Location
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Location of Interest
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Additional Locations of Interest (Optional)
0/250
Do you currently have a potential space?
*
Please Select
Yes
No
FRANCHISE INFO
What are you interested in?
Single Unit Franchise
Multi-Unit Franchise (Area Development)
Multi-Unit Franchise (Master Franchise)
Do you currently own other restaurants/businesses?
*
Please Select
Yes
No
Will you have additional partners?
*
Please Select
Yes
No
Your total net worth?
*
Please Select
Less than $125,000
$125,000 - $249,999
$250,000 - $499,999
$750,000 - $999,999
$1,000,000 or more
Your total liquid assets?
*
Please Select
Less than $125,000
$125,000 - $249,999
$250,000 - $499,999
$750,000 - $999,999
$1,000,000 or more
Are you an active member of the US Military or a Veteran?
*
Please Select
Yes
No
How did you hear about us?
*
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