Juicy! Platters Contact

1
Get Visitor Location
2
Email* This field is required.
3
Your Name & Contact* This field is required.
First Name
Last Name
Primary Phone
Secondary Phone
4
Your Address* This field is required.
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
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Antigua and Barbuda
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Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
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India
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Israel
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Jamaica
Japan
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Jordan
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North Korea
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Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
How long have you lived at this address?* This field is required.
Please Select
Please Select
< 1 Year
1 to 2 Years
2 to 3 Years
3 to 4 Years
4 to 5 Years
5 to 10 Years
10+ Years
6
How did you hear about the Juicy! Lifetime Opportunity?
Juicy Store Location
Juicy Website
Google
Executive Transition Assistance Program (ETAP)
LinkedIn
Military Event
Military Officers Association of America (MOAA)
National Black MBA Association (NBMBAA)
National Society of Hispanic MBAs (NSHMBA)
Referral
Other
7
Please type where you heard about this opportunity
8
Who referred you to this opportunity?
9
When are you ready to begin your journey with Juicy?
Date
Month
Day
Year
10
What's your primary reason(s) for wanting to operate a Juicy! Restaurant?* This field is required.
11
What strengths do you have that would allow you to operate a successful restaurant?
12
What would you consider your primary concerns are in operating a restaurant?
13
Select the 1st geographical area that you would like to operate your Juicy?* This field is required.
14
Select the 2nd geographical area that you would like to operate your Juicy?* This field is required.
15
Select the 3rd geographical area that you would like to operate your Juicy?* This field is required.
16
Do you have a specific location address that you would like to operate your Juicy? If so, please enter the address here.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
17
Are you pursuing this opportunity with a partner?
Please Select
Please Select
Yes
No
Are you pursuing this opportunity with a partner?
If yes, how will this partner participate?
Partner's First Name
Partner's Last Name
Partner's Primary Phone
Partner's Secondary Phone
18
Are you willing to operate a Juicy! Restaurant as your sole responsibility?
Please Select
Please Select
Yes
No
19
Are you prepared to devote yourself full-time towards the day-to-day & hands-on operation of a Juicy! Restaurant?
Please Select
Please Select
Yes
No
20
Have you ever applied to become a Juicy! Operator in the past?
Please Select
Please Select
Yes
No
21
If so, when?
Date
Month
Day
Year
22
What languages do you speak aside from English?
23
Upload Resume/CV (Optional)
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Select files to upload
Max. file size: 10.6MB
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24
Upload Photo (Optional)
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Max. file size: 10.6MB
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Present Employer* This field is required.
Name of Employer
Title
Responsbilities
Length of Employment
Annual Salary
Please Select
Please Select
Yes
No
Will you be leaving this employment to operate your own Juicy?
26
Business & Leadership Experience
Please Select
Please Select
Yes
No
Have you ever owned your own business?
How long did you operate this business?
Please Select
Please Select
Yes
No
Have you ever managed a team of employees?
How many employees did you lead and manage?
How did you manage your team? Please explain your management and leadership method
Please Select
Please Select
Option 1
Option 2
Option 3
Is this business still active?
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Do you have any other sources of income aside from your present employer?* This field is required.
YESNO
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List all sources of income hereStarting with the highest first including your primary source
Source of Income
Annual Revenue
Income Source A
Row 0, Column 0
Row 0, Column 1
Income Source B
Row 1, Column 0
Row 1, Column 1
Income Source C
Row 2, Column 0
Row 2, Column 1
Income Source D
Row 3, Column 0
Row 3, Column 1
Summary
Row 4, Column 0
Row 4, Column 1
Income Source A
Income Source B
Income Source C
Income Source D
Summary
Source of Income
Row 0, Column 0
Annual Revenue
Row 0, Column 1
Source of Income
Row 1, Column 0
Annual Revenue
Row 1, Column 1
Source of Income
Row 2, Column 0
Annual Revenue
Row 2, Column 1
Source of Income
Row 3, Column 0
Annual Revenue
Row 3, Column 1
Source of Income
Row 4, Column 0
Annual Revenue
Row 4, Column 1
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Do you own or rent your home?* This field is required.
Please Select
Please Select
Rent
Own
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Assets* This field is required.Please list your total assets in each field
Amount
Cash on Hand
Row 0, Column 0
Cash in Banks
Row 1, Column 0
Stocks
Row 2, Column 0
Bonds
Row 3, Column 0
Securities
Row 4, Column 0
Retirement Funds
Row 5, Column 0
Value of Real Estate Owned
Row 6, Column 0
Value of Interest in any businesses
Row 7, Column 0
Loans owed to you
Row 8, Column 0
Any other assets
Row 9, Column 0
Total assets will be calculated here >>
Row 10, Column 0
Cash on Hand
Cash in Banks
Stocks
Bonds
Securities
Retirement Funds
Value of Real Estate Owned
Value of Interest in any businesses
Loans owed to you
Any other assets
Total assets will be calculated here >>
Amount
Row 0, Column 0
Amount
Row 1, Column 0
Amount
Row 2, Column 0
Amount
Row 3, Column 0
Amount
Row 4, Column 0
Amount
Row 5, Column 0
Amount
Row 6, Column 0
Amount
Row 7, Column 0
Amount
Row 8, Column 0
Amount
Row 9, Column 0
Amount
Row 10, Column 0
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Liabilities* This field is required.Please list your total liabilities in each field
Amount
Total loans you owe to individuals
Row 0, Column 0
Total loans you owe to lenders
Row 1, Column 0
Total credit card debt
Row 2, Column 0
Total vehicles loans
Row 3, Column 0
Total mortgage balances remaining
Row 4, Column 0
Total student loan balances remaining
Row 5, Column 0
Any other debts remaining
Row 6, Column 0
Total liabilities will be calculated here >>
Row 7, Column 0
Total loans you owe to individuals
Total loans you owe to lenders
Total credit card debt
Total vehicles loans
Total mortgage balances remaining
Total student loan balances remaining
Any other debts remaining
Total liabilities will be calculated here >>
Amount
Row 0, Column 0
Amount
Row 1, Column 0
Amount
Row 2, Column 0
Amount
Row 3, Column 0
Amount
Row 4, Column 0
Amount
Row 5, Column 0
Amount
Row 6, Column 0
Amount
Row 7, Column 0
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Amount of Liquid Capital you are making available for investment
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Source of Capital
Please Select
Please Select
Yes
No
Are you borrowing this Capital from anyone?
If yes, who will you be borrowing from?
Please Select
Please Select
Yes
No
Is Capital wholly owned by you?
Please Select
Please Select
Yes
No
Can you provide 6 months bank statements?
34
Citizenship Status* This field is required.
U.S. Citizen
U.S. Permanent Resident
Canadian Citizen
Other
35
Have you ever filed for bankruptcy or for general protection from your creditors?
Please Select
Please Select
Yes
No
36
Have you ever been convicted of a felony?
Please Select
Please Select
Yes
No
37
If so, please enter the date of conviction:
Date
Month
Day
Year
38
Do you have any dependents?* This field is required.
YESNO
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List Dependents* This field is required.
First Name
Last Name
Age
Relationship
Dependent
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Dependent
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Dependent
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Dependent
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Dependent
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Dependent
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Dependent
Dependent
Dependent
Dependent
Dependent
Dependent
First Name
Row 0, Column 0
Last Name
Row 0, Column 1
Age
Row 0, Column 2
Relationship
Row 0, Column 3
First Name
Row 1, Column 0
Last Name
Row 1, Column 1
Age
Row 1, Column 2
Relationship
Row 1, Column 3
First Name
Row 2, Column 0
Last Name
Row 2, Column 1
Age
Row 2, Column 2
Relationship
Row 2, Column 3
First Name
Row 3, Column 0
Last Name
Row 3, Column 1
Age
Row 3, Column 2
Relationship
Row 3, Column 3
First Name
Row 4, Column 0
Last Name
Row 4, Column 1
Age
Row 4, Column 2
Relationship
Row 4, Column 3
First Name
Row 5, Column 0
Last Name
Row 5, Column 1
Age
Row 5, Column 2
Relationship
Row 5, Column 3
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NON-DISCLOSURE AGREEMENT* This field is required.THE UNDERSIGNED, ITS OFFICERS AND/OR EMPLOYEES (THE "APPLICANT"), AGREE THAT HE/SHE/IT WILL NOT DISCLOSE TO OTHERS OR USE ANY TRADE SECRET AND/OR CONFIDENTIAL INFORMATION, KNOWLEDGE, OR DATA, INCLUDING, BUT NOT LIMITED TO, INFORMATION REGARDING THE BUSINESS OF JUICY! OR ANY OTHER RELATED BUSINESSES, WHICH MAY BE OBTAINED DURING THE COURSE OF MEETING OR SPEAKING WITH ANY REPRESENTATIVES OF JUICY! THE APPLICANT RECOGNIZES THAT ANY INFORMATION WHICH MAY BE DISCLOSED BY JUICY!, DIRECTLY OR INDIRECTLY, IS CONSIDERED A TRADE SECRET AND/OR CONFIDENTIAL INFORMATION AND IS VALUABLE, SPECIAL, AND A UNIQUE ASSET OF JUICY! THE APPLICANT AGREES THAT HE/SHE/IT WILL NOT DISCLOSE TO OTHERS OR USE ANY SUCH TRADE SECRETS AND/OR CONFIDENTIAL INFORMATION, KNOWLEDGE OR DATA, UNLESS AND UNTIL, AND ONLY TO THE EXTENT, THAT SUCH INFORMATION, KNOWLEDGE OR DATA BECOMES AVAILABLE TO THE PUBLIC OTHERWISE THAN BY ANY ACT OR OMISSION OF THE APPLICANT. The Applicant agrees to not use or disclose any trade secrets and/or confidential information or data obtained during meetings or communications with Juicy! representatives in a competitive manner. By signing this agreement, you agree not to use any Juicy! trade secrets and/or confidential information or data in competition, directly or indirectly, with Juicy!, without prior express written consent from Juicy! The Applicant acknowledges that abiding by this agreement is a precondition to any discussions with Juicy!, including but not limited to Discovery Visits. The Applicant commits to this nondisclosure and non-competition agreement during, between, and after all communications or meetings with Juicy! THE UNDERSIGNED HEREBY COVENANTS THAT THE INFORMATION TO BE DISCLOSED SHALL BE TREATED WITH UTMOST CONFIDENTIALITY AT ALL TIMES, AND SHALL TAKE APPROPRIATE STEPS TO SAFEGUARD THE CONFIDENTIALITY OF SUCH INFORMATION.ALL INFORMATION PROVIDED BY APPLICANT WILL BE KEPT CONFIDENTIAL AND WILL NOT BE DISCLOSED, EXCEPT FOR PURPOSES OF VERIFICATION AND/OR EVALUATION OF THE APPLICANT. PRIVACY POLICY ALL INFORMATION PROVIDED IS KEPT CONFIDENTIAL AND WILL NOT BE DISCLOSED EXCEPT FOR PURPOSES OF VERIFICATION
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