Franchise Application

Name(Required)

First Last

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Registered Business Address

Street Address Address Line 2 City State ZIP Code

Mobile Tel(Required)

Office Tel

Email(Required)

In which geographical areas do you currently operate your business in?

In which geographical areas would you like to operate Tamerans?

Education

Higher Education and Qualifications: (Education since leaving school including professional qualifications)

Course Description

Qualifications

Year

Name and Address of Institution

References

Please provide details of two business references. (No contact will be made until we have a mutual agreement to your entering our franchising program.)

Reference 1 Name

First Last

Reference 1 Address

Street Address Address Line 2 City State ZIP Code

Reference 2 Name

First Last

Reference 2 Address

Street Address Address Line 2 City State ZIP Code

Career and Business History

Employer's Or Business Name

Employer's Or Business Address

Street Address Address Line 2 City State ZIP Code

Date Started

Date Ended

Type of Business

Position Held

Duties and Responsibilities

Reason for Leaving

Financial Statement

Personal Financial Statement – for the last full financial year

Salary/Draw

Bonus/Commission

Dividends/Interest

Income from property

Profit of your Business

Other Income (Please Specify)

Spouse Income

Total

Do you have an other business interests? Please specify

Assets

Cash

Properties and Market Value

Current Assets

Inventory

Net Business Value

Total Assets

Liabilities

Loans

Mortgages

Current Liabilities

Other Liabilities/ Invoices Due

Any Other Debts

Total Liabilities

Other Financial Information

What is your average monthly cash on hand?

How much capital do you have available to invest in this business?

(minimum $100k of liquid assets)

Have you, your current or previous company or your spouse ever been declared or filed for bankruptcy?

Please provide details

Have you or your business ever been prosecuted, or been involved in a dispute?

(i.e., county court judgement etc)

Have you ever been involved in a business failure?

Please provide details

Have you ever been convicted of a criminal offense?

Please provide details

Describe why you believe that you can be a successful Tamerans Franchisee:

Additional Information