Restaurant Franchising | Pasquini's Pizzeria Franchise Application

1. Personal Information
A. Name
First Name*		Last Name*
B. Address
Address Line 1*		Address Line 2
City*	State*	Zip/Postal Code*
How long have you lived in the area (years)?
C. Contact Information
Home Phone	Cell Phone*	Work Phone
Fax		E-mail*
D. Current Employment
Type of Business
Number of Years
Current Position
2. General Information
A. How did you hear about us?

B. Where do you want to locate your restaurant?

Do you currently live in this location (area)? YesNo
If not, please explain why you are choosing this location (area).
C. Have you considered other franchises?
YesNo
D. Have you received a FDD (Franchise Disclosure Document) from any other franchise company?
YesNo
E. Have you ever looked at other food franchise companies?
YesNo
If yes, which ones?
3. Current and past business experience Please state name of restaurant or retail establishment, duties and positions held, length of employment, and location of employment.
A. Have you ever worked in the restaurant industry?
YesNo
If so, please describe
B. Do you have any multi-unit restaurant or retail experience?
YesNo
If so, please describe
C. Do you have any retail experience?
YesNo
If so, please describe
4. Timing
A. Are you ready now?
YesNo
5. Financial Information
A. List one business and one bank reference
Business Reference
Bank Reference
B. Financial Information
Total Liquid (ex. cash, stocks, bonds, etc.)
Total Tangible Assets (ex. real estate, car, etc.)
Total Assets (Liquid + Tangible)
Total Liabilities
Total Net Worth (assets - liabilities)
Submission of this Franchise Application does not constitute acceptance by Pasquini's Franchising, Inc. (Pasquini's) of applicant as a franchisee nor does it grant any franchise rights, which may only be granted by executing a written franchise agreement. Before I am accepted as a franchisee with Pasquini's I authorize Pasquini's to start an investigative consumer report (including information as to my character, general reputation, personal characteristics and mode of living) and credit investigation based on information voluntarily provided by me at that time and represent that all information is true and accurate. I understand that I have a right to request that Pasquini's make a complete and accurate disclosure of the nature and scope of such investigation. Pasquini's may obtain my credit report in connection with this application and other information provided by me in the future. This is my authorization to credit reporting agencies, bank (s), creditors and suppliers to release to Pasquini's and to Pasquini's to release to such parties all information requested regarding my depository, loan or other credit information including without limitation, financial information by telephone or in writing as part of the normal credit evaluation process. I release my bank (s), creditors, suppliers and Pasquini's from all liability with respect to the release of any such requested information. Authorization is granted to use photo or fax copies of my signature to obtain information. If I am requesting that Pasquini's make a credit determination based on my creditworthiness combined with any co-applicants, I authorize Pasquini's to discuss any derogatory credit items with such co-applicants. I understand that Pasquini's may, at any time, require that I sign an updated application or provide updated or additional information. I acknowledge that I have read, and hereby agree to be bound by the terms of the Confidentiality and Non-Disclosure Agreement that is a part of this Application and will be executed by the parties prior to any additional disclosure.
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