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 Confidential Franchise Request for Consideration
Filling in this form does not obligate the applicant to purchase a franchise. Please complete the form in full, and please do not use abbreviations. Should you wish to print the form and fax or scan it, please print in capital letters.
 
Fields marked with an “*” are mandatory.
   PERSONAL DATA
* First Name Middle Name  * Last Name  
* Residential address Address 2 
* Citizen of  *Country 
* State / Province * City 
* Zip / Postal code     
* Date of birth Month Day   Year
* Email address    
Work phone * Home phone

Mobile phone * Social Security/Sin
* How long at this address Previous address
How many Years    
Marital Status    
If married, spouse name, SSN # # Of dependents
   EDUCATIONAL
* Highest level of education
Schools attended   Years   Grade or degree attained   Year completed
     
                 
                  
   GENERAL
* Date available to open business
Yes No Part Time Full Time
If no, or part-time, please explain who will operate the franchise:
* Please indicate geographical preference, if not exactly, please provide us with your preferred general area.
* Interested in area development or single unit? How many stores would you like to open:
1 store 2-4 stores 5+ Stores
* Have you ever been convicted of a felony or misdemeanor (other than minor traffic violation) or are you currently involved in a criminal
proceeding or law suit?
Yes No  
* Have you ever failed in business, filed for bankruptcy protection, or compromised with creditors? If yes, when, where, and circumstances including any remaining liabilities:
How did you hear about the FACES opportunity
If other ( Please specify )
* Do you now or have you ever owned a franchised business?
Yes No  
  If yes, please provide details

* Select your business experience level
* Have you ever worked in a FACES store?
Yes No  

  If yes, where and when?
   CURRENT EMPLOYMENT INFORMATION
   
* Employed by * Number of years
* Business name    
* Address Address 2
* Country * City
* State / Province * Zip code / Postal code
*Telephone number * Annual income
   CREDIT REFERENCES (BANKS, TRUSTS, COMPANIES, OTHERS)
* Institution
* Address
   Address 2