Franchise Application
Become a franchising partner
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Tell us a little bit about yourself... What connects you to the HEAL brand and interests you about becoming a HEAL franchise partner?
*
Do you have any prior or current franchise experience? If yes, please tell us more.
*
Where do you want to open up a HEAL franchise?
*
Are you a Canadian citizen? If NO what country?
*
Are you currently:
*
Self Employed
Employed
Unemployed
Retired
Position:
*
Name of company:
*
Type of business:
*
Liquid Capital Available:
*
Net Worth:
*
Have you ever filed for bankruptcy? If YES, identify discharge date:
*
Submit
Should be Empty: