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About Us
Shop Products
Qualifying Conditions
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Locations
Miami Dade County
Coconut Grove
Doral
Homestead
Kendall
Miami Beach
Miami Shores
Miami Wynwood
North Miami Beach
Palmetto Bay
South Beach
South Miami
Broward County
Coconut Creek
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Davie West
Deerfield Beach
Hallandale
Hollywood
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Lauderhill
Margate
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Oakland Park
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Key West
Hillsborough County
Brandon
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Port St. Lucie
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St. Augustine (Coming Soon)
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Clematis Street
Lake Worth
Southern Blvd
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San Marco
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Fernandina
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Downtown Orlando
Osceola County
Kissimmee
St. Cloud (Coming Soon)
Pinellas County
Largo
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Sarasota
Seminole County
Winter Springs
Sumter County
Lady Lake
Telehealth
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information sheet
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information sheet
Franchise 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:
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Miracle Leaf Health Centers
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