:: The Belgian Waffle co :: Franchise Application

Name of Franchisee/Company/Firm/Others *

Age *

Please Pick One *

Address *

City *

State/Province *

ZIP/Postal Code *

Country

Phone *

Email *

Education *

Do you have any experience in hospitality/F & B industry? Please list all relevant info: *

Have you ever owned a franchise or business before? *

Tell us About Your Business Career (Period ; Firm ; Position ; Annual Income) *

Why do you think you will make a good franchise partner for BWC? What sets you apart to manage this particular business? *

REFERENCES

Please list 2 business references that know you and your work well. References that you provide may be contacted by The Belgian Waffle Co. team

Reference 1: (Name,Title, Firm, Address, Phone,) *

Reference 2: (Name, Title, Firm, Address, Phone, *

FINANCIAL INFORMATION

Total Proposed Investment: *

Indicate the sources of funds for Investment: * Please Select One

From own sources (applicant, spouse, parents etc.)

From firms owned/promoted by applicant and family members

From friends and relatives

From banks

Other

I am interested in the following Franchise Opportunity: * Please Select One

Single/Multiple Unit franchisee (1 to 10 units owned and run by the franchisee with no rights to sub franchise)

Territory development Partner (Owned and franchised units with revenue sharing on upfront fee and royalty)

Other

With a business decision as important as a franchise, it is necessary for us to ask some standard questions. If the answer to any of these questions is “yes,” please 'check' the box and explain the circumstances in 'other': Please Select One

Have you ever failed in business, compromised with creditors or filed bankruptcy?

Are any lawsuits pending against you?

Have you ever been convicted of a crime?

Have you signed a “Non Compete” agreement with another company that is currently in effect?

Do you rent or own your home?

Other

FRANCHISE PLANS

Total Proposed Investment: *

Why are you interested in the BWC franchise? *

When will you be able to begin the BWC franchise? *

Territory/Location of proposed outlet: *

Do you plan to have any parnters? *

Who will be responsible for running the franchise outlet on a day-to-day basis? *

Please Select One

Applicant

Hired Manager

Applicant's Relative

Other

What will be your involvement/duties in the business? *

Please list any skills/assets in your geography and capacity, which would allow you to succeed as a BWC franchise owner

Please include any thoughts you may have about the BWC franchise that you think may be helpful in our discussion

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