GENERAL FRANCHISE APPLICATION FORM
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1 GENERAL FRANCHISE APPLICATION FORM!PLEASE ONLY USE ADOBE ACROBAT PROGRAM TO COMPLETE THIS FORM! The information you furnish in this form is not binding and in no way obligates you or TINT WORLD to purchase or sell a franchise. Its purpose is to provide our company with the pertinent information needed to evaluate you as an applicant. The company 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. Upon completion, please or fax to: franchise@tintworld.com (561) I. YOUR PERSONAL INFORMATION Home How Long Have You Lived At This Address 1: Address 2: Home Phone: Best Time to Call: Morning Afternoon Evening Business Phone: Best Time to Call: Morning Afternoon Evening Cell Phone: Best Time to Call: Morning Afternoon Evening Date of Birth: Marital Status: Single Married Divorced-Monthly Payment: Do You Rent or Own Your Home? Rent Own Citizenship: DEPENDENTS Name: Age: Name: Age: Name: Age: Name: Age: Name: Age: Name: Age: II. SPOUSE PERSONAL INFORMATION (IF APPLICABLE) Date of Birth: Page 1 of 6
2 III. CURRENT EMPLOYMENT YOUR CURRENT EMPLOYMENT Are You Leaving Employment? SPOUSE S CURRENT EMPLOYMENT Are You Leaving Employment? ADDITIONAL SOURCE OF INCOME Do you have an additional source of income? If so, please explain: TOTAL COMBINED ANNUAL INCOME: Page 2 of 6
3 IV. PREVIOUS EMPLOYMENT YOUR PREVIOUS EMPLOYMENT YOUR PREVIOUS EMPLOYMENT OWNED OR OPERATED A BUSINESS Have you at any time owned or operated your own business? (Explain Below) Type of Business: How Long Operated: Did You Operate Full Time or Part Time? Full Time Part Time Annual Income: Current Business Status? Sold Closed Still Own Describe Your Experience of Owning a Business: Page 3 of 6
4 V. YOUR BUSINESS INTEREST How did you become interested in Tint World? What are 3 reasons for going into your own business? 1) 2) 3) What are the primary concerns you have with owning your own business? Ideally, when would you like to own a Tint World franchise? ASAP Within 3 Months Within 6 Months Within 12 Months Other: Which geographic areas are you most interested in? 1) 2) 3) What do you consider to be your strengths to run a franchise? 1) 2) 3) Which Tint World franchise package are you most interested in? Single Store Conversion Store Multi-Store Are you interested in obtaining an International Master Franchise License? If so, please list the Country and State / Province: VI. BUSINESS PARTNERS Do you plan on having a business partner? If so, will partner be active? Will partner be investing? PARTNER #1 PARTNER #2 FAMILY MEMBERS Will any family members be involved in the business? Name: Name: Relationship: Relationship: Name: Relationship: Page 4 of 6
5 VII. EXPERIENCE What languages do you speak? Have you ever managed employees? If so, how many and in what capacity? Your Computer Experience: ne Basic Average Advanced Your Spouse s Computer Experience: ne Basic Average Advanced Your Financial Management Skills: ne Basic Average Advanced Your Spouse s Financial Management Skills: ne Basic Average Advanced TINT WORLD CONSISTS OF 3 MAIN COMPONENTS: SALES, MANAGEMENT, AND PRODUCTION Please check the component YOU feel most comfortable with: Sales Management Production Please check the component YOU SPOUSE feels most comfortable with: Sales Management Production Please list your current affiliations (Fraternal, Business, Professional, Civic, Etc): Any other information you wish to provide: Page 5 of 6
6 VIII. FINANCIAL INFORMATION AND REQUEST FOR DISCLOSURE DOCUMENT ASSETS LIABILITIES Cash On Hand & In Banks: tes Payable To Bank / Other: Stocks, Bonds, Money Market: Retirement Funds: Loans Owed To You (Due within a year): tes Receivable (t Disc.): Life Insurance (Cash Sur. Value): Total Credit Card Debt: Vehicle Loans: Mortgages Payable, Real Estate: Accounts Payable: Any Other Liabilities (Itemize) Real Estate (Present Value): Business Owned: Automobiles: Any Other Assets (Itemize): NET WORTH TOTAL ASSETS: TOTAL LIABILITIES: SUBTRACT FOR NET WORTH: AMOUNT OF CAPITAL TO INVEST: SOURCE OF CAPITAL: Have you ever been involved with a bankruptcy? (If so, please explain below) This is not a contractual agreement. The signing of this document does not obligate you in any way to purchase a Tint World franchise. information provided on this general information form will be verified unless the undersigned gives written or verbal authorization. The signing of this document does not constitute written authorization. I hereby request information concerning your unique proprietary process and service known as the Tint World system. In doing so, I recognize and acknowledge that the information I may learn represents trade secrets which are solely the property of Tint World. I agree that I will not disclose or use the knowledge gained from your company regarding the trade secrets or other proprietary information and the merchandising practices of your business, nor the contents of your products and service for my personal benefit, nor for the benefit of others without your express written consent. SIGNATURE: SPOUSE S SIGNATURE: DATE: DATE: *This agreement must be completely filled out, signed and dated before an offering circular will be forwarded. Page 6 of 6
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