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Franchise Interest Questionnaire
Personal Data
First name
Middle
Last name
Home address
Apt#
City
State
Zip
If you have resided at this address less than 5 years, please list your previous address.
Previous address
Apt#
City
State
Zip
Date of birth
Home phone
Business phone
Fax
E-mail address
Marital Status
Spouse's name
Spouse's date of birth
Spouse's citizenship
May we contact you at work?
Yes
No
Best place to contact you?
Best time?
General Information
Where did you hear about Sweet Peppers Deli as an investment opportunity?
List your top 3 geographic preferences for opening a franchise:
1.
2.
3.
How many Sweet Peppers Deli franchises would you like to open?
Briefly explain why you feel you would be a successful Sweet Peppers Deli franchisee:
How much time would you personally devote to operating a Sweet Peppers Deli franchise?
Full Time
Percentage?
Investor Only
Do you currently have $200,000 to invest the business?
Yes
No
Is this liquid capital?
Yes
No
How do you envision financing the balance of funds required?
Desired time of beginning business: (Check One)
Now - 60 days
61 - 90 days
3 - 6 months
6 - 12 months
Do you now, or have you ever owned and operated your own business?
Yes
No
If yes, what type?
Please list your involvement in any other business ventures:
Have you ever filed for bankruptcy?
Yes
No
If so, when & why?
Have you ever been arrested or convicted of a crime?
Yes
No
If so, please disclose the circumstances:
Have you ever been a party to a lawsuit or any other legal action?
Yes
No
If so, please disclose the circumstances?
Employment
Current employer (company name)
Address
City
State
Zip
Phone
Current position
Salary level
Dates of employment
From:
to
PREVIOUS EMPLOYERS
(Please list the past two)
Company name
Dates of employment
From:
to:
Address
City
State
Zip
Phone
Position
Salary level
Company Name
Dates of employment
from
to
Address
City
State
Zip
Phone
Position
Salary level
I would like to receive a Sweet Peppers Deli franchising brochure:
Yes
No