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Juicy! Expression of Interest Form

Juicy! respects the privacy of your information. We will use the information you provide to evaluate your business qualifications to be a potential Juicy! Operator.  Please fill in the following information as thoroughly as possible.  The information you furnish in this form is not binding and in no way creates any obligations for either party.  Its purpose is to provide us with the pertinent information needed to evaluate any potential business relationship.  Juicy! will hold the answers supplied in this application in strict confidence.  The information and references provided herein will not be verified without your written and/or verbal authorization.
20Questions
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    Get Visitor Location
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    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
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    • Ukraine
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    • Vatican City
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    • < 1 Year
    • 1 to 2 Years
    • 2 to 3 Years
    • 3 to 4 Years
    • 4 to 5 Years
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  • 6
    • Juicy Store Location
    • Juicy Website
    • Google
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    • Referral
    • Other
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  • 12
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  • 13
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  • 14
    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
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  • 20
    If self employed, enter name of entity
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  • 23
    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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