|
Confidential
Personal Statement and Franchise Application
Franchise Info -
Intro - Beginning - Letter
from President - Non-Compete - Application
This
application does not commit you to buy a franchise. It merely
gives both
you and us a starting point to determine if our Franchise is
right for you. Please
fill out clearly and completely, and fax back to All Flowers.
I understand that the information I am receiving from All Flowers
or from any All Flowers
employee, agent, or franchisee is highly confidential and is
being made available to me because
of this application, and I will hold it in the strictest confidence.
We
will immediately send you our Franchise Offering Circular with
full details.
Personal Information
Name:
__________________________________________________________________
Age:
____________________________________________________________________
Marital
Status: Married___ Single____ Spouse's name: __________________________
No.
of Children: _______________ Ages: ______________________________________
Residence
address:
Street:
________________________________________________________________
Telephone:
( )________________________________________________________
City:
_____________________ State: ________ Zip: ________ Country:
________
Present
Occupation: ________________________________________________________
Position:
______________________________________ How Long: __________________
Business
address:
Street:
_________________________________________________________
Telephone:
______________________________________________________
City:
_____________________ State: ________ Zip: ________ Country:
________
Education
Circle
last school year completed: College: 1 2 3 4 High School: 1
2 3 4
Describe
any training in sales, management, retailing or other business:
_____________
__________________________________________________________________________
Describe
any experience which would help you to own a business: ___________________
__________________________________________________________________________
Personal Reference (Friends, Neighbors, Business Associates)
| |
Name
(In full) |
Address |
Occupation |
Yrs.
Known |
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1. |
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2. |
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3. |
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4. |
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Credit Reference (Company)
| |
Address |
Account
No. |
Telephone |
|
1. |
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2. |
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3. |
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4. |
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5. |
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What
area are you interested in? (City/State)
1st
choice: ____________________________________________________________
2nd
choice: ____________________________________________________________
3rd
choice: ____________________________________________________________
Will
you devote full time to this business? Yes __ No __
If
no, explain: __________________________________________________________
Will
your spouse be involved in this business? Yes___ No___
Are
you considering a partner? Yes___ No___
If
so, who: _____________________________________________________________
Total
capital available to invest in a business: _______________________________
Have
you ever been involved in bankruptcy? Yes___ No___
If
yes, explain: _________________________________________________________
Are
you currently involved in any lawsuits or legal actions? Yes___
No___
If
yes, explain: _________________________________________________________
How
did you learn of this franchise program? ____________________________________
| Assets |
Amount |
|
Liabilities |
Amount |
| Cash
on hand or in banks |
$ |
|
Notes
Payable to Bank |
$ |
| U.S.
Government Securities |
$ |
|
Notes
Payable to others, unsecured |
$ |
| Amounts
and Loans Receivable |
$ |
|
Loans
against life insurance |
$ |
| Notes
Receivable, not discounted |
$ |
|
Accounts
Payable |
$ |
| Life
insurance, Cash Surrender Value |
$ |
|
Interest
Payable |
$ |
| Stocks,
Bonds, Money Market |
$ |
|
Taxes
and Assessments |
$ |
| Real
Estate |
$ |
|
Mortgages
Payable on Real Estate |
$ |
| Automobiles |
$ |
|
Brokers
margin accounts |
$ |
| Other
Assets (Itemize): |
$ |
|
Other
Liabilities (Itemize): |
$ |
| |
$ |
|
|
$ |
| |
$ |
|
|
$ |
| |
$ |
|
Total Liabilities |
$ |
| |
$ |
|
Net Worth
(Total Assets - Total Liabilities) |
$ |
|
Total Assets |
$ |
|
Total Liabilities
+ Net Worth |
$ |
| Annual
Income |
Amount |
|
Annual
Expenditures (Exclude
ordinary living expenses) |
Amount |
| Salary
(Exclude bonus) |
$ |
|
Mortgage |
$ |
| Spouse's
Salary (Exclude bonus) |
$ |
|
Real
Estate payment(s) |
$ |
| Securities
Income |
$ |
|
Rent |
$ |
| Rentals |
$ |
|
Income
Taxes |
$ |
| |
|
|
Insurance
Premiums |
$ |
| Others: |
|
|
Other
(Include installment payments and other real estate) |
|
| 1.
Commission & Bonuses |
$ |
|
1. |
$ |
| 2. |
$ |
|
2. |
$ |
| 3. |
$ |
|
3. |
$ |
| 4. |
$ |
|
4. |
$ |
|
Total |
$ |
|
Total |
$ |
The
signature below authorizes the release and verification of credit
information to
All Flowers at 941-591-3596.
Signed:
________________________________________________________________
Dated:
_________________________________________________________________
Print
Name: _____________________________________________________________
Social
Security #: ________________________________________________________
Franchise Info -
Intro - Beginning - Letter from
President - Non-Compete -
Application |
