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 Confidential Franchise Request for Consideration
By 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 capitals 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