information sheet

Name (Franchisee #1)*

Address*

Adress Line 1 Address Line 2

Phone Number*

Email Address

Percentage Interest %

Please enter a number from 0 to 100.

Name (Franchisee #2)

Address

Adress Line 1 Address Line 2

Phone Number*

Email Address

Percentage Interest %

Please enter a number from 0 to 100.

Name (Franchisee #3)

Address

Adress Line 1 Address Line 2

Phone Number

Email Address

Percentage Interest %

Please enter a number from 0 to 100.

Name (Franchisee #4)

Address

Adress Line 1 Address Line 2

Phone Number

Email Address

Percentage Interest %

Please enter a number from 0 to 100.

If the Franchisee is going to be a corporation or limited liability company, we need copies of the Articles of Incorporation (or Articles of Organization if an LLC), Bylaws and Shareholders’ The agreement, if any (or Operating Agreement if an LLC) and organizational minutes or consent of Board of Directors and Shareholders (or Managers and Members is an LLC) authorizing the purchase of the Franchise.

If Franchisee is going to be a corporation or LLC, supply your Federal Employer Identification Number (FEIN):

If you are going to be the franchisee individually, supply your Social Security Number:

If Franchisee is going to be a corporation or LLC, supply the name of the person with whom we will be dealing primarily (the “Designated Representative”)

Business Location of Franchisee, if selected:

If the Business Location is to be determined, what is the Reserved Area?

Landlord Name

Address

Adress Line 1 Address Line 2

Phone Number

Email Address

If you have retained or are going to retain an attorney to represent you in this purchase please provide their information.

Attorney’s Name

Address

Phone Number

Email Address

Designation of Limited Protected Territory

Description of Designated Marketing Area

Initial Franchisee Fee:

Fictitious Name:

Names of Franchisee Sellers:

Additional Information:

Franchise Information Sheet