City of interest for a Java Espress Franchise (please check our existing locations)
How did you find out about Java Espress?
Name
Mailing Address Line 1
Mailing Address Line 2 (if applicable)
City
State
Zip Code
Phone
Email Address
Date of Birth
Are you a US Citizen? Yes No
If no, citizen of what country?
Criminal Record? Yes No
Bankruptcy Record? Yes No
Please list any business partners who may be included in this venture with you They need individually fill out a separate application as well.
Business Partner's Name (optional)
Would you be an owner-operator or an investor? Owner/Operator Investor
Company Name
How long have you worked with this company?
What is your job title?
What is your monthly income?
Cash available to invest in the business?
Do you anticipate another loan to assist you? Yes No
Where will the additional funds come from?
Total Assets
Total Liabilities
Net Worth: Total (Assets/Liabilities)
Net Worth: As of today
Is there any other information you would like us to know?
I hereby certify that the information contained in this profile is accurate and complete and authorize any person or entity I have listed in my franchise application form to disclose in good faith any information they may have regarding my background, experience, income, financial condition or other information relating to my qualification to be a franchisee. I will hold Java Espress and any person or entity I have listed in my application form free of liability from the exchange of this information and any other reasonable and necessary information incident to the franchise qualification process. I Agree
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