FRESH Restaurants – Franchise Interest Form

CONFIDENTIAL INFORMATION. Submission: FRESH is an eco-friendly company, so please complete this franchise interest form electronically and submit it below automatically to [email protected].

SECTION 1: PERSONAL DATA Surname*: First Name*:
Date of Birth*: Marital Status:
Spouse’s Name: Date of Birth:
Number of Children: Total Dependents:
Home Address*: Years there*: Country*:
City*: State*: Postal Code*:
Tel. # Mobile:
E-Mail*:

SECTION 2: EDUCATION High School: University/College:
Degree:
Describe any training:

SECTION 3: BUSINESS EXPERIENCE Present Occupation*:
Company: Address:
Salary:
Duties/Responsibilities:

Spouse’s Occupation:
Company: Address:
Salary:
Are you now self-employed?: (If yes, complete the following):
Firm: Phone Number:
Type of business: Years in business:
Your Title: Yearly Sales: Salary:

SECTION 4: PREVIOUS BUSINESS EXPERIENCE

	Position	Company
1
2
3

SECTION 5: FINANCIAL

Assets

Cash* $ Stocks, Bonds & Securities* $ Accts, Notes Receivable* $ Real Estate (Market Value)* $ Mortgage Receivable* $ Automobiles (Market value)* $ Cash value – Life Insurance* $ Retirement Savings plan* $ Other assets* $
TOTAL* $

Liabilities

Unpaid Taxes* $ Loans* $ Other bank loans* $ Mortgage loans* $ Other liabilities* $
TOTAL* $

Describe Real Estate:
Describe Securities:
Mortgage Payment: Monthly: Car payment: Loan payment:

SECTION 6: ABOUT YOU From what source did you learn about FRESH – Healthy Cafe?*
Are you seeking an individual franchise or multiple units?*:

Print Name*: Date*: Save or Print a Copy

*required fields