FRANCHISE APPLICATION

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Home Phone*

Mobile Phone*

Work Phone

Estate*

Own Your Own
Rent a Restaurant

Best Time of Day to Call:*

Select All
Morning
Noon
Evening

Best Day to Call:*

Your Birthday

Marital Satus:

Married
Single
Widowed

If married, will spouse be active in the business?

Yes
No
Maybe?

Number of Dependents:

Please enter a number from 0 to 20.

Current Occupation:*

Health Satus:

Educational Background

High Scool / Diploma / Years

College / Degree(s) / Years

Grad Scool / Degree(s) / Years / Licenses & Certifications

Have you ever been self employed?

What, if any, franchise involvement have you had?

Activities

What are your special intersts and/or hobbies?

List membership and level of involvement in any civic, service or professional organizations.

General Information & Goals

How long have you considered owning your own business and why?

What type of business seems to appeal to you most?

How did you first learn about Sam & Louie's?

Why are you intersted in owning & operating a Sam & Louie's franchise?

What are your career & financial goals for yourself & your family?

Will you have a business partner in your franchise? Describe them who they are and their relationship to you if so.

Will you be responsible for the day-to-day operations for the business? If not, who will be?

How will you finance the business?

List your top 3 lcoation preferences and why you think they will be successful for operating a Sam & Louie's franchise.

When would you like to open?

Financial Statment

Digital Signature of Consent*

I agree to the the terms stated below

I/We do hereby represent that all of the above information answers are true and complete to the best of my/our knowledge and belief. I/We recognize that Sam & Louie’s is not in any way obligated to offer a franchise to me/us because of my/our execution of this document. I/We acknowledge that any false statement in this application shall constitute sufficient cause to deny further consideration. I/We understand that an inquiry regarding my/our character, general reputation, personal characteristics and financial background may be made as a result of this application and hereby authorize the release of this information to Sam & Louie’s. A photographic copy of this authorization shall be as valid as the original.

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