Franchise - Questionnaire

Interested in a Franchise - Questionnaire

Thank you for taking the time to answer these questions.
PRELIMINARY DETAILS OF PROSPECTIVE FRANCHISEE:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
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Financial
1. Have you ever been declared insolvent?

YesNo
2. If yes, are you now rehabilitated?

YesNo
3. Net worth per personal balance sheet
4. Current monthly income
5. Available finance for immediate investment
6. If you were to be awarded a franchise, do you undertake to pay the joining fee and the monthly royalty and advertising fees as required by the Franchise Agreement

YesNo
I, First Name Last Name , hereby declare that the above information as well as that submitted on the Statement of Assets & Liabilities is, to the best of my knowledge and belief, entirely correct. Date
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Interested in a Franchise - Questionnaire